Patient response to sigmoidoscopy recommendations via mailed reminders.

Area of Science:

• Preventive Medicine
• Gastroenterology
• Public Health

Background:

• Colorectal cancer screening is recommended for individuals over 50.
• The American Cancer Society (ACS) provides guidelines for screening procedures like sigmoidoscopy.
• Patient awareness and uptake of recommended screenings can vary significantly.

Purpose of the Study:

• To assess patient interest in scheduling a sigmoidoscopy after receiving information about ACS recommendations.
• To identify barriers preventing patients from undergoing colorectal cancer screening.
• To evaluate the effectiveness of mailed educational materials in promoting sigmoidoscopy appointments.

Main Methods:

• A survey was conducted among patients aged over 50 in a family practice residency program.
• 1,024 patients received letters detailing ACS colorectal screening recommendations.
• Response rates and interest in sigmoidoscopy, other screenings, and reasons for non-participation were analyzed.

Main Results:

• Out of 429 respondents, 13.1% expressed interest in sigmoidoscopy.
• Key barriers included perceived lack of need (42%), cost concerns (31%), discomfort (12.1%), and fear (8.6%).
• Only 10 out of 56 interested patients actually underwent the procedure, despite ACS recommendations.

Conclusions:

• Mailed information alone has limited success in driving sigmoidoscopy uptake among the target population.
• Patient education and encouragement are crucial for improving adherence to colorectal cancer screening guidelines.
• Despite low uptake, the survey facilitated the early detection of two colorectal carcinomas.