Colorectal Cancer Screening in Primary Care

NCT01877018 | Completed

• 1 other identifier: PI10/01994
• Study Type: interventional
• Target: 41,042
• Locations: 1 country
• Sites: 2

Brief Summary

The implementation of screening programs for colorectal cancer by screening for fecal occult blood has proven effective in reducing the incidence and mortality from this type of neoplasms. However, to ensure the efficiency of the programs require population participation rates of at least 50%. Experiences in our country show that the population participation is far from this recommended minimum number. Interventions to promote preventive activities in primary care are well received by the population; in the case of colorectal cancer, direct recommendation of primary care professionals to carry out the screening is one of the factors with greatest impact on increasing population participation in such programs. Care overload, circuit design for screening without the direct intervention of primary care professionals and the multiplicity of tasks that they must face, are elements that influence the low recommendation for screening in the target population who consults for any other reason. The introduction of specific reminders in electronic medical record (in widespread use in primary care), as a tool to facilitate and encourage direct referral by physicians and nurse practitioners to perform colorectal cancer screening will mean an increase of at least 10% in participation of the target population, increasing the efficiency of screening programs. The introduction of this new software tool will have good acceptance and increase compliance with recommendations from health professionals.

Conditions

Colorectal Neoplasms

Keywords

Comparative Effectiveness Research; Reminder Systems; Patient Participation; Primary Health Care; Early Detection of Cancer; Colorectal Neoplasms

Outcome Measures

Primary Outcomes (1)

• Patient's status participation to colorectal cancer screening program

  Status of participation at the end of the intervention (1 year): 1. Update: completion of faecal occult blood test by invitation from the colorectal cancer screening program within the duration of the study. 2. Exclusion: exclusion criteria identified through the screening process by colorectal cancer screening program. 3. Not update: No completion of faecal occult blood test.

  one year

Study Arms (2)

electronic reminder

EXPERIMENTAL

Electronic reminder introduced into primary care medical health record.

Behavioral: electronic reminder

Usual care

NO INTERVENTION

Usual care control group

Interventions

electronic reminder BEHAVIORAL

Electronic reminder introduced into primary care medical health record, identifying invited people to the population-based colorectal cancer screening program, to promote their participation.

electronic reminder

Eligibility Criteria

• Age: 50 Years - 69 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients:
• Men and women, aged between 50-69, with an average risk of developing CRC, involved to participate in the first round of a population-based CRC screening program (N=57.020)
• To be registered with a primary care physician (PCP) at one of the centers participating.
• Health care professionals: All the physicians and nurses working at every center voluntarily participating (N=280).

You may not qualify if:

• Patients: Refusal to participate.
• Health care professionals: Refusal to participate by the center where they work.

Sponsors & Collaborators

• Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina: lead
• Instituto de Salud Carlos III: collaborator

Study Sites (2)

Jordi Gol Foundation

Barcelona, Catalonia, 08007, Spain

Location

Jordi Gol Gurina Foundation

Barcelona, Catalonia, 08007, Spain

Location

Related Publications (1)

• Guiriguet-Capdevila C, Munoz-Ortiz L, Rivero-Franco I, Vela-Vallespin C, Vilarrubi-Estrella M, Torres-Salinas M, Grau-Cano J, Buron-Pust A, Hernandez-Rodriguez C, Fuentes-Pelaez A, Reina-Rodriguez D, De Leon-Gallo R, Mendez-Boo L, Toran-Monserrat P. Can an alert in primary care electronic medical records increase participation in a population-based screening programme for colorectal cancer? COLO-ALERT, a randomised clinical trial. BMC Cancer. 2014 Mar 31;14:232. doi: 10.1186/1471-2407-14-232.

  PMID: 24685117 DERIVED

MeSH Terms

Conditions

Colorectal Neoplasms; Patient Participation

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Carolina Guiriguet

  Catalan Health Institute. IDIAP Jordi Gol

  PRINCIPAL INVESTIGATOR

• Laura Muñoz

  Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

  STUDY CHAIR

• Irene Rivero

  Catalan Institute of Health

  STUDY CHAIR

• Carme Vela

  Catalan Institute of Health

  STUDY CHAIR

• Mercedes Vilarrubí

  Catalan Institute of Health

  STUDY CHAIR

• Miquel Torres

  Hospital Esperit Sant

  STUDY CHAIR

• Jaume Grau

  Hospital Clínic Provincial

  STUDY CHAIR

• Andrea Buron

  Hospital del Mar

  STUDY CHAIR

• Cristina Hernández

  Hospital del Mar

  STUDY CHAIR

• Antonio Fuentes

  Catalan Institute of Health

  STUDY CHAIR

• Dolores Reina

  Catalan Institute of Health

  STUDY CHAIR

• Rosa De León

  Catalan Institute of Health

  STUDY CHAIR

• Leonardo Mendez

  Catalan Health Institute. IDIAP Jordi Gol

  STUDY CHAIR

• Pere Toran

  Catalan Health Institute. IDIAP Jordi Gol

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2013
• First Posted: June 13, 2013
• Study Start: September 1, 2010
• Primary Completion: March 1, 2013
• Study Completion: May 1, 2013
• Last Updated: August 30, 2016

Record last verified: 2016-08

Locations

ES (2)