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• W2077451387 abstract "This report describes findings from a randomized controlled trial of an intervention to increase colorectal cancer (CRC) screening in primary care practices in Appalachian Kentucky.Sixty-six primary care practices were randomized to early or delayed intervention groups. The intervention was provided at practices using academic detailing, a method of education where providers receive information on a specific topic through personal contact. Data were collected in cross-sectional surveys of medical records at baseline and six months post-intervention.A total of 3844 medical records were reviewed at baseline and 3751 at the six-month follow-up. At baselines, colonoscopy was recommended more frequently (43.4%) than any other screening modality, followed by fecal occult blood testing (18.0%), flexible sigmoidoscopy (0.4%), and double-contrast barium enema (0.3%). Rates of documented screening results were higher for all practices at the six-month follow-up for colonoscopy (31.8% vs 29.6%) and fecal occult blood testing (12.2% vs 11.2%). For early intervention practices that recommended screening, colonoscopy rates increased by 15.7% at six months compared to an increase of 2.4% in the delayed intervention practices (p=.01).Using academic detailing to reach rural primary care providers with a CRC screening intervention was associated with an increase in colonoscopy." @default.
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• W2077451387 date "2014-01-01" @default.
• W2077451387 modified "2023-09-27" @default.
• W2077451387 title "Effectiveness of a primary care practice intervention for increasing colorectal cancer screening in Appalachian Kentucky" @default.
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• W2077451387 doi "https://doi.org/10.1016/j.ypmed.2013.10.018" @default.
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