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Brief Title: Elders Preferences in Care Decisions
Official Title: Improving Appropriate Colorectal Cancer Screening in Elderly Patients
Study ID: NCT01575990
Brief Summary: The purpose of this research study is to explore ways to improve appropriate colorectal cancer (CRC) screening in the elderly by attempting to target screening in those most likely to benefit and avoiding screening in those least likely to benefit.
Detailed Description: The investigators propose a randomized controlled trial at the patient level to determine the efficacy of a colorectal cancer screening decision support intervention for patients ages 70 to 84 within a clinical setting. The investigators hypothesize that the use of the intervention will prepare patients for individualized decision making with their providers and result in an improvement in appropriate CRC screening decisions and screening outcomes. To assess appropriate CRC screening decisions and screening, the investigators will use a classification scheme derived from the literature based on age and the Charlson Comorbidity Index. Using this scheme, appropriate screening will include screening for those in the best health because they are likely to benefit, no screening for those in the worst health because they are unlikely to benefit, and evidence of a discussion about CRC screening for those in the intermediate health group because the benefit is unclear.
Minimum Age: 70 Years
Eligible Ages: OLDER_ADULT
Sex: ALL
Healthy Volunteers: Yes
Duke Practiced Based Research Network, Durham, North Carolina, United States
Name: Carmen L Lewis, MD, MPH
Affiliation: University of North Carolina
Role: PRINCIPAL_INVESTIGATOR
Name: Rowena J Dolor, MD, MHS
Affiliation: Duke University
Role: STUDY_DIRECTOR