AI Article Synopsis
- Colorectal cancer is a leading cancer in Germany, and screening colonoscopies are recommended for individuals over 55 to enhance early detection and prevention.
- An invitation procedure was implemented to encourage those aged 55-75 who had never been screened to participate, with a focus on comparing the effect of cover letters on participation rates.
- Results showed a significant increase in participation and detection of polyps and adenomas in the group receiving cover letters, demonstrating the effectiveness of personalized invitations in promoting screening colonoscopies.
Article Abstract
Background: Colorectal cancer (CRC) is the second most common cancer in Germany. Screening colonoscopies are considered an effective tool for early detection and prevention of CRC and are recommended in Germany for citizens over the age of 55. To increase the participation rate for screening colonoscopies, an invitation procedure was initiated in parts of Germany for patients between the ages of 55 and 75 who had never undergone a screening colonoscopy before.
Methods: We examined the number of participating patients before, during, and after the invitation procedure and compared the number of the participating patients who received a cover letter with the participating patients from the control group. Additionally, we classified the findings of the colonoscopies including CRC, advanced adenomas, and polyps.
Results: During the invitation period, the participation rate of the invitation group increased from 220 patients to 531 patients compared to 1256 to 1693 in the control group. The increase was significantly greater in patients with cover letters (+141% vs.+35%, < 0.0001). Also, significantly more polyps and adenomas were found in patients from the invitation letter group (254 (+102%) vs. 679 (-9%), < 0.0001).
Conclusions: Our study clearly indicates that personal invitation letters are an effective measure to increase overall participation rates in screening colonoscopies.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137580 | PMC |
| http://dx.doi.org/10.1177/2050640618769713 | DOI Listing |
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