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Clinical Trials Update
September 25, 2018

Direct-mail FIT Improves Cancer Screening Rates

JAMA. 2018;320(12):1231. doi:10.1001/jama.2018.13874

An outreach program that mailed fecal immunochemical test (FIT) to patients as part of standard care significantly improved rates of FIT test completion and colorectal cancer screening, according to a study in JAMA Internal Medicine.

Twenty-six federally qualified health center clinics with 41 193 patients were randomized to the outreach intervention or to usual care (tests ordered during routine clinic visits). The intervention group used customized tools embedded in the electronic health record that identified patients eligible for colorectal cancer screening and enabled clinic staff to mail eligible patients an introductory letter, FIT kits, and a reminder letter.