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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Choice of screening modality in a colorectal cancer education and screening program for the uninsured
1Department of Prevention and Community Health, George Washington University School of Public Health and Health Services, Washington, DC, USA. mona.sarfaty@jefferson.edu
Background:
Starting in 2001, the state of Maryland established a carefully planned and executed multicomponent intervention to reduce mortality and disparities in colorectal cancer.
Methods:
In the most populous county, uninsured participants received education and a choice of free screening by fecal occult blood testing (FOBT) or colonoscopy or both.
Results:
Over 2 years, a group of 1,672 uninsured individuals, of whom 90% were minorities, registered with the program. Overall, screening uptake was 41% with colonoscopy, 10% with FOBT, and 10% with both FOBT and colonoscopy.
Conclusion:
The choices of colorectal cancer screening modalities by a diverse uninsured population demonstrates the importance of maintaining screening options.
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