General Practitioners (GP) Involvement in Colorectal Cancer (CRC) Screening

Early Phase 1CompletedNCT01364454

Paris 12 Val de Marne University8,140 enrolled

Overview

Screening for ColoRectal Cancer (CRC) is widely recommended because of compelling evidence that it reduces mortality from CRC and that it's cost-effective. In France, there is a national CRC screening programme inviting people aged 50-74 years by mail to consult their General Practitioner (GP) for a free on charge Faecal Occult Blood test deliverance every two years. Participation is a key factor for the screening programs success. High levels of screening uptake and the continued participation to regular screening must be achieved and maintained in the targeted population if the enormous potential of CRC screening is to be realised. Screening rates of various international programs vary widely (20-52%) and the participation is insufficient in the most settings. Therefore, a better understanding of facilitating and hindering factors of patient participation can guide interventions to improve CRC screening rates. They include patients and physicians' factors. One issue is about GPs practice. GP involvement has been shown to improve the participation in the CRC screening. This study aims to assess the effectiveness of an intervention targeting GPs to increase patient participation in the CRC screening. Volunteer GPs will be randomly assigned to either the intervention group or to usual care (control group) and they will be followed one year. The intervention consists in providing every four months to the experimental group a list of their patients who are eligible but did not proceed yet to the screening. In both groups, patient participation in the screening will be measured at the end of the study.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

8,140

Conditions

Eligibility

Sex: ALLMin age: 50 YearsMax age: 74 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. General Practitioner (GP) * exercising in the Val de Marne (French department of the suburb of Paris) * volunteered to participate at the study 2. Patient * living in the Val de Marne (French department of the suburb of Paris) * having declared a 'preferred GP' exercising in the Val de Marne to the main statutory health insurance scheme ("régime général") * being eligible for colorectal cancer screening (aged 50 to 74 years, not excluded and having not proceed yet to the screening) * having consulted his 'preferred GP', whatever the reason, during the study period Exclusion Criteria:

Outcomes

Primary Outcomes

Patient's participation to colorectal cancer screening program

Patient's status with colorectal cancer screening program to 15th june 2011 with two modalities 1. Update: completion of Faecal Occult Blood test or exclusion for medical reason within the duration of the study (The medical exclusions of the program are a personal or family history of Colorectal cancer, Crohn's disease, hemorrhagic rectocolitis, or hereditary nonpolyposis colorectal cancer, a colonoscopy undergone in the 5 previous years or a Fecal Occult Blood test undergone in the 2 previous years) 2. Not update

Time frame: 1 year