Journal article
Free Fecal Immunochemical Test Disbursement in Eight Family Physician Offices
Journal of community health, Vol.40(5), pp.1008-1014
10/2015
DOI: 10.1007/s10900-015-0025-1
PMCID: PMC4711770
PMID: 25980522
Abstract
Colorectal cancer (CRC) is the second leading cause of cancer death. CRC screening with a fecal immunochemical test (FIT) is important as occult blood may be detected. To offer Iowa Research Network members in family physician offices the opportunity to provide FITs at no charge to patients in need and determine how many of the tests would be handed out to patients and how many would be returned to the office. Eight family physician offices agreed to participate and 50 two-day FITs were provided, potentially providing 400 patients a CRC screening test. One hundred and eighty (45 %) of the 400 FITs were handed out to patients. Of the 92 (51 %) patients who returned at least one card, 77 (84 %) had negative results, 13 (14 %) were positive, and 2 (2 %) were indeterminate. Of 13 patients with a positive result, 11 (85 %) had a follow-up colonoscopy. Providing 400 FITs at no charge to the offices was an expensive endeavor. Implementing this forced a change in office routine and the type of fecal occult blood test used. Less than half of the FITs were given out to patients and of those given out, about half of the patients returned a FIT. For those who returned FITs and had positive findings, 85 % followed-up with a colonoscopy. Office nurses implementing the CRC screening need to be included in the planning of the type of fecal occult blood test used and receptive to the project.
Details
- Title: Subtitle
- Free Fecal Immunochemical Test Disbursement in Eight Family Physician Offices
- Creators
- Jeanette Daly - Department of Family Medicine University of Iowa 01290-F PFP, 200 Hawkins Drive Iowa City IA 52242 USABarcey Levy - Department of Epidemiology University of Iowa Iowa City IA USAYinghui Xu - Department of Family Medicine University of Iowa 01290-F PFP, 200 Hawkins Drive Iowa City IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Journal of community health, Vol.40(5), pp.1008-1014
- DOI
- 10.1007/s10900-015-0025-1
- PMID
- 25980522
- PMCID
- PMC4711770
- NLM abbreviation
- J Community Health
- ISSN
- 0094-5145
- eISSN
- 1573-3610
- Publisher
- Springer US; New York
- Grant note
- RC4 CA153493 / National Institutes of Health (http://dx.doi.org/10.13039/100000002)
- Language
- English
- Date published
- 10/2015
- Academic Unit
- Epidemiology; Family and Community Medicine
- Record Identifier
- 9984024401502771
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