Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 24 February 2018

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Mailed brochures improve appointment-keeping for colonoscopy

Mailed brochures are effective in increasing patient adherence to primary care physician referral for screening colonoscopy, shows the recent issue of Annals of Internal Medicine.

News image

fiogf49gjkf04

Even when primary care physicians have face-to-face discussions with patients before making screening colonoscopy referrals, nonadherence can be substantial.

Often, primary care physicians lack sufficient time to educate patients and address their potential misconceptions, and fears about this procedure.

Dr Thomas Denberg and colleagues from Colorado evaluated an innovative approach to increasing patient compliance with completion of the colonoscopy procedure.

The team of doctors assessed whether an informational brochure sent to patients' home addresses after referral for colonoscopy would increase patient compliance.

The doctors conducted a randomized, controlled trial conducted in 2 general internal medicine practices.

The adherence rate was 12 percentage points greater with mailed brochures
Annals of Internal Medicine

The trial included 781 consecutive patients 50 years of age or older referred by their primary care physicians for screening colonoscopy.

The doctors randomly assigned patients to a control group that received usual care.

The intervention group received usual care plus an informational brochure.

The brochure was mailed within 10 days of referral for screening colonoscopy.

The team reported that the brochure mentioned the name of the patient's primary care physician, and encouraged patients to schedule a procedure.

The questionnaire also described colorectal cancer and polyps, and the similar lifetime risks for colorectal cancer for men and women.

In addition, colonoscopy and risk for perforation, the nature of bowel preparation for the procedure, and alternative screening tests were described.

The doctors then measured that rates of adherence to screening colonoscopy in the 2 study groups.

The team found that the overall adherence rate was 12 percentage points greater in the intervention group than in the control group.

The doctors observed that older patients were more adherent than younger patients.

The team noted that patients with low-income insurance plans, such as Medicaid, were less adherent despite being sent a brochure.

The team reported that the small number of clinical practices, and minority patients may limit generalizability of their study.

The team did not determine the degree to which adherence was influenced by a reminder to schedule a procedure vs detailed information about colonoscopy.

Dr Denberg's team concludes, “An inexpensive mailed brochure is an effective way to increase patient adherence to primary care physician referral for screening colonoscopy.”

Ann Int Med 2006: 145(12): 895-900
04 January 2007

Go to top of page Email this page Email this page to a colleague

 23 February 2018 
Patients on antithrombotic agents undergoing emergency and elective endoscopy
 23 February 2018 
Heavy metals on a gluten-free diet
 23 February 2018 
MRI and NAFLD
 22 February 2018 
Outcomes with Crohn’s after infliximab withdrawal
 22 February 2018 
Elderly onset of IBD

 22 February 2018 
Autophagy enhancers
 21 February 2018 
Management of hemorrhoids in the USA
 21 February 2018 
Adalimumab and infliximab in biologic-naïve Crohn's
 21 February 2018 
Cystic fibrosis and colorectal cancer
 20 February 2018 
Complications and surveillance colonoscopies
 20 February 2018 
Treatment algorithm for polyp cancers
 20 February 2018 
Predictors of postoperative infection in Crohn's
 19 February 2018 
Screening colonoscopy in the right and left colon
 19 February 2018 
NAFLD prevalence in the USA
 19 February 2018 
Fructans in children with IBS

 16 February 2018 
Inflammatory bowel diseases are global diseases
 16 February 2018 
Undetected celiac in the elderly
 16 February 2018 
Fructans induce non-celiac gluten sensitivity
 15 February 2018 
NSAIDS and GI damage
 15 February 2018 
Oral direct-acting antiviral treatment for Hep C virus genotype 1
 15 February 2018 
Primary vs secondary surgery for the presence of lymph node metastasis
 14 February 2018 
Predicting adenoma detection rate
 14 February 2018 
Normal bowel frequency characterization in the USA 
 13 February 2018 
Personalising treatment options for IBS
 13 February 2018 
Prebiotics improve endothelial dysfunction
 13 February 2018 
Diagnostic criteria for a Rome IV functional gastrointestinal disorders
 12 February 2018 
Visceral hypersensitivity and functional GI disorders
 12 February 2018 
Depression and aggressive IBD
 12 February 2018 
Variability in interpretation of endoscopic findings impacts patient management
 09 February 2018 
Treatment of choice for anastomotic stricture in IBD
 09 February 2018 
PRO measurement information system 
 09 February 2018 
Overall disease severity indices for IBD
 08 February 2018 
Prediction of endoscopically active disease

 08 February 2018 
Steroid-refractory acute severe ulcerative colitis
 08 February 2018 
Decision aid used by IBD patients
 07 February 2018 
Ursodeoxycholic acid combined with bezafibrate for itching
 07 February 2018 
Change in microbiome in gastritis vs gastric carcinoma
 07 February 2018 
Colorectal cancer and primary sclerosing cholangitis-IBD
 06 February 2018 
Risk of death after liver transplantation
 06 February 2018 
Crohn’s disease vs refractory pouchitis
 06 February 2018 
Support for functional dyspepsia symptom diary
 05 February 2018 
Helicobacter spp influence on GI tract 
 05 February 2018 
No link found between severe reflux and all-cause mortality 
 05 February 2018 
Psychological distress in PPI non-responders
 02 February 2018 
Assessing psychosexual impact of IBD
 02 February 2018 
Decrease in overall mortality with cholera vaccination
 02 February 2018 
Diagnostic performance of fecal immunochemical tests
 01 February 2018 
Screening frequency with family histories of colorectal cancer
 01 February 2018 
IBD and sport participation
 01 February 2018 
Life with a stoma 
 31 January 2018 
Aprepitant and gastroparesis 
 31 January 2018 
Anesthesia risk in colonoscopy
 31 January 2018 
GED-0301 for Crohn's Disease
 30 January 2018 
Intestinal dysbiosis and allergic diseases in infants
 30 January 2018 
Fructans and IBS symptoms in children
 29 January 2018 
Dosing calculator for therapy optimization in IBD
 29 January 2018 
Glecaprevir–pibrentasvir for in HCV
 29 January 2018 
Food allergen injections in eosinophilic esophagitis
 29 January 2018 
Reliability of the IBD index
 26 January 2018 
Tofacitinib vs biological therapies for ulcerative colitis

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us