A Randomized Controlled Trial of Opt-in Versus Opt-Out Colorectal Cancer Screening Outreach.
rct · Level II
Where this comes from
- Record sourced from PubMed, PMID 29925915.
- Also identified by DOI 10.1038/s41395-018-0151-3 and PMC identifier 6768589.
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Abstract
METHODS:: RESULTS:: Patients randomized to opt-in agreed to participate 23.1% of the time, and only 2.5% of those in opt-out chose not to participate. FIT kits were mailed to 22.4% and 93% of patients in opt-in and opt-out arms, respectively. In intention-to-screen analysis, patients in the opt-out arm had a higher FIT completion rate (29.1%) than in the opt-in arm (9.6%) (absolute difference 19.5%; 95% confidence interval, 10.9-27.9%; P < .001). Results were similar in subgroup analysis of those sent initial messaging through the EHR portal (9.5% opt-in versus 37.5% in opt-out).
Medical subject headings
- Colorectal Neoplasms
- Early Detection of Cancer
- Mass Screening
- Patient Acceptance of Health Care
- Refusal to Participate