Neoplasms

Digestive System Diseases

All Conditions

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Rectal Diseases

Non-responders to an initial mailed CRC screening invitation from their family physician.

FOBT kit. Mailed invitation.

Those who responded to the initial mailed CRC screening invitation and are now due for repeat screening (i.e., "recall" patients).

FOBT kit. Mailed invitation.

Mailed FOBT kit with educational materials and mailed CRC screening invitation on behalf of family physician.

FOBT kit

Mailed CRC screening invitation alone on behalf of family physician.

Mailed invitation

Jill Tinmouth, MD

The investigators hope to determine whether the addition of an FOBT kit and educational materials to a second mailed invitation compared to a second mailed invitation alone increases use of appropriate screening tests (FOBT for average risk or colonoscopy if increased risk) by eligible persons within 6 months of the second mailing in: (1)Non-responders to an initial mailed CRC screening invitation from their family physician and, (2)Those who responded to the initial mailed CRC screening invitation and are due for repeat screening (i.e., "recall" patients). In addition, the investigators will also explore the impact of the investigators intervention in likely under-screened groups such as those living in more remote areas of the province and those with low socio-economic status as well as assessing the cost-effectiveness of this strategy.

Increasing Uptake of Colorectal Cancer Screening in Ontario

The primary outcome will be the uptake of appropriate screening (FOBT testing or if there is a positive family history, of colonoscopy) within 6 months of the mailing as determined by from OHIP and CCO data.

The secondary outcome will be the uptake of lower gastrointestinal investigations (colonoscopy for an indication other than family history or colonoscopy done outside of CIRT, flexible sigmoidoscopy, barium enema) within 12 months, respectively, of the mailing as determined by the administrative data (CIRT, OHIP procedure or radiology code).

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Increasing Uptake of Colorectal Cancer Screening in Ontario	NCT01629004	Colorectal Diso...	FOBT kit Mailed invitati...	50 Years - 74 Years	Sunnybrook Health Sciences Centre
Increasing Uptake of Colorectal Cancer Screening in Ontario	NCT01629004	Colorectal Diso...	FOBT kit Mailed invitati...	50 Years - 74 Years	Sunnybrook Health Sciences Centre

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