Colorectal Cancer
Conditions
Keywords
colorectal cancer screening, general practitioner, social health inequalities
Brief summary
In this registry-based cluster randomized controlled trial, we will assess the impact of a proactive strategy of general practitioners (GP) who will systematically provide screening kits of colorectal cancer (CRC) to all patients of even age (50, 52, 54...up to 74 years) versus usual practice where the eligible population receive an invitation letter to visit the general practitioner and receive the screening kit.
Detailed description
Colorectal cancer is one of the leading causes of cancer and death in France in both men and women. The generalized screening rate is about 30% in France, far from the expected 65%, despite the fact that screening is free and a letter of invitation is sent to the individual's home, and despite the financial incentives provided to the practitioner. Different studies have looked for the causes of non-implementation by the individual: negligence, dirty; forgetfulness, and the practitioner: organizational problem, communication problem. A few intervention studies have been carried out with little success: sending the invitation to the individual's home, sending a letter of reminder, sending a letter of general information on screening to the practitioner, sending the list of patients who have not taken the test to the practitioner allows for a few percent improvement in screening. In this registry-based cluster randomized controlled trial, we will assess the impact of a proactive strategy of general practitioners who will systematically provide screening kits of colorectal cancer to all patients of even age (50, 52, 54 years...up to 74 years) versus usual practice where the eligible population receive an invitation letter to visit the general practitioner and receive the screening kit. The screening rate will be calculated for each arm at the end of the 2-year study with data from the health insurance.
Interventions
BEHAVIORALColorectal cancer screening test
delivery of colorectal cancer screening test by GP
Sponsors
University Hospital, Bordeaux
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
50 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
\- medical practices in Aquitaine region and their visiting patients eligible for colorectal cancer screening individuals aged between 50 and 74 years at intermediate risk of colorectal cancer).
Exclusion criteria
* medical practices with less than five individual eligible for colorectal cancer screening. * visiting patients aged less than 50 years or more than 74 years or at high or very high risk of colorectal cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participation rate in CRC screening | 2 years after the start of protocol | The primary endpoint of this trial is the rate of participation rate in CRC screening in the eligible patient population grouped with or without intervention. This criterion will be measured by retrospective analysis of retrospective analysis of National Health Data System data. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Positive test results | 2 years after the start of protocol | Rate of patients with positive test results |
| Positive test at an early stage | 2 years after the start of protocol | rate of patients tested positive at an early stage |
| Positive test at a last stage | 2 years after the start of protocol | rate of patients testing positive at a late stage |
Contacts
Primary ContactChristele BLANC-BISSON, Dr
Backup ContactPierre POULIZAC
Outcome results
None listed