The Effects of Different Invitation Schemes on the Use of Fecal Occult Blood Tests for Colorectal Cancer Screening: Systematic Review of Randomized Controlled Trials.
The Effects of Different Invitation Schemes on the Use of Fecal Occult Blood Tests for Colorectal Cancer Screening: Systematic Review of Randomized Controlled Trials.
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DOI：
10.3390/cancers13071520
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发表时间：
2021-03-25
期刊：
影响因子：
5.2
通讯作者：
Brenner H
中科院分区：
文献类型：
--
作者：
Gruner LF;Amitay EL;Heisser T;Guo F;Niedermaier T;Gies A;Hoffmeister M;Brenner H
在提供粪便潜血试验（现在主要是粪便免疫化学试验）的结直肠癌筛查项目中，邀请方案和参与率存在很大的异质性。目前还不清楚粪便潜血试验最有效的邀请策略是什么。在这项系统性综述中，预先通知、邮寄粪便潜血试验和提醒具有主要、一致和互补的潜力，可增加基于粪便潜血试验的结直肠癌筛查的参与。我们的研究结果表明，通过实施全面的邀请策略，可以在多个环境中大幅提高基于粪便潜血试验的结直肠癌筛查邀请的有效性。粪便潜血试验（现在主要是粪便免疫化学试验）的个人邀请越来越多地用于提高其在结直肠癌筛查中的使用。然而，在应用的邀请方案中存在很大的异质性。我们的目的是审查各种邀请计划的有效性的证据。主要结果是粪便潜血试验使用率。在Medline和Web of Science中进行了系统检索（截至2020年7月9日）。随机对照试验或群集随机对照试验是合格的，这些试验报告了向具有平均结直肠癌风险的普通人群发送的基于粪便潜血试验的结直肠癌筛查的一般邀请。（PROSPERO 2020 CRD 42020169409）。共纳入34项研究。邀请函附有，即，邮寄粪便潜血试验始终增加测试使用4-19.7%点相比，其他方法的测试提供。同样，引入预先通知也导致了更高的使用率，增加了3.3-10.8%。提醒函显示出积极的效果，但因方法不同而有所不同。信件或电子邮件提醒比电话或短信提醒（0.6-6.5%）更有效，增加了8.5-15.8%。财务激励（（-8.4）-20%）和添加或更改邀请材料（-3.5）-11.8%）的结果不一致。3.5%-24.7%的使用率增长最快的是通过多方面的邀请，实施多个组件。任何邀请方案都比没有邀请要优越上级。预先通知、邮寄粪便潜血检测和提醒始终被证明具有主要的互补潜力，可以增加基于粪便潜血检测的结直肠癌筛查设置的参与。
There is large heterogeneity in invitation schemes and participation rates in colorectal cancer screening programs offering fecal occult blood tests (nowadays mostly fecal immunochemical tests). It is unclear what the most effective invitation strategies are for fecal occult blood tests. In this systematic review, advance notification, mailed fecal occult blood test, and reminders had major, consistent, and complementary potential to increase participation in fecal occult blood test-based colorectal cancer screening. Our findings show that the effectiveness of invitations for fecal occult blood test-based colorectal cancer screening can be substantially increased across several settings by the implementation of comprehensive invitation strategies. Personal invitations for fecal occult blood tests (nowadays mostly fecal immunochemical tests) are increasingly used to raise their usage for colorectal cancer screening. However, there is a large heterogeneity in applied invitation schemes. We aimed to review evidence for the effectiveness of various invitation schemes. The main outcome was the fecal occult blood test usage rate. A systematic search was performed in Medline and Web of Science (up to 9 July 2020). Randomized controlled trials or cluster-randomized controlled trials were eligible, which reported on general invitations for fecal occult blood test-based colorectal cancer screening sent to the general population at average colorectal cancer risk. (PROSPERO 2020 CRD42020169409). Overall, 34 studies were included. Invitations with an attached, i.e., mailed fecal occult blood test consistently increased test usage by 4–19.7% points, compared to other methods of test provision. Likewise, the introduction of advance notification consistently led to a higher usage rate, with an increase of 3.3–10.8% points. Reminders showed positive but varying effects by method. With an increase of 8.5–15.8% points, letter or email reminders were more effective than reminders by phone call or text message (0.6–6.5% points). Inconsistent results were found for financial incentives ((−8.4)–20% points) and for added or changed invitation material ((−3.5)–11.8% points). With 3.5–24.7% points, the strongest increases in use were achieved by multifaceted invitation, implementing multiple components. Any invitation scheme was superior over no invitation. Advance notification, mailing of fecal occult blood test, and reminders were consistently shown to have major, complementary potential to increase participation in fecal occult blood test-based colorectal cancer screening settings.
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影响因子：
105.7
作者：
Buskermolen, Maaike;Cenin, Dayna R.;Lansdorp-Vogelaar, Iris
通讯作者：
Lansdorp-Vogelaar, Iris
影响因子：
5.7
作者：
Goldman, Shira N.;Liss, David T.;Baker, David W.
通讯作者：
Baker, David W.
影响因子：
8.8
作者：
Hewitson, P.;Ward, A. M.;Mant, D.
通讯作者：
Mant, D.
影响因子：
2.4
作者：
Denters, Maaike J.;Deutekom, Marije;Dekker, Evelien
通讯作者：
Dekker, Evelien
影响因子：
4.4
作者：
Jean-Jacques, Muriel;Kaleba, Erin O.;Choucair, Bechara N.
通讯作者：
Choucair, Bechara N.