Decision-aid plus patient navigation support improves CRC screening rates

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Takeaway 

  • Using a decision aid along with patient navigation support increases screening completion rates for colorectal cancer (CRC) in vulnerable patient populations (low income, Spanish speaking, low education levels, and Medicaid insured).

Why this matters  

  • Uptake of CRC screening is not as high as it could be overall but is especially low in certain populations experiencing barriers to care.
  • New screening guidelines encourage engaging patients in CRC screening decision making.

Key results 

  • 62% of patients were Latino and about a fourth were black or mixed race.
  • 78% had a household income <$20K/y and a third were uninsured.
  • Receiving intervention increased likelihood of screening within 6 mo (68% vs 27% without).
  • Intervention worked better in women (50% vs 21% increase; P interaction=.02).
  • 3 patients needed to be offered the interventio...