Face-to-face vs telephone pre-colonoscopy consultation in colorectal cancer screening; a randomised trial

Esther Stoop, TR de Wijkerslooth, PM Bossuyt, J Stoker, P Fockens, Ernst Kuipers, E (Erwin) Dekker, M Leerdam

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Abstract

BACKGROUND: A pre-colonoscopy consultation in colorectal cancer (CRC) screening is necessary to assess a screenee's general health status and to explain benefits and risks of screening. The first option allows for personal attention, whereas a telephone consultation does not require travelling. We hypothesised that a telephone consultation would lead to higher response and participation in CRC screening compared with a face-to-face consultation. METHODS: A total of 6600 persons (50-75 years) were 1 : 1 randomised for primary colonoscopy screening with a pre-colonoscopy consultation either face-to-face or by telephone. In both arms, we counted the number of invitees who attended a pre-colonoscopy consultation (response) and the number of those who subsequently attended colonoscopy (participation), relative to the number invited for screening. A questionnaire regarding satisfaction with the consultation and expected burden of the colonosc RESULTS: In all, 3302 invitees were allocated to the telephone group and 3298 to the face-to-face group, of which 794 (24%) attended a telephone consultation and 822 (25%) a face-to-face consultation (P = 0.41). Subsequently, 674 (20%) participants in the telephone group and 752 (23%) in the face-to-face group attended colonoscopy (P = 0.018). Invitees and responders in the telephone group expected the bowel preparation to be more painful than those in the face-to-face group while perceived burd CONCLUSION: Using a telephone rather than a face-to-face consultation in a population-based CRC colonoscopy screening programme leads to similar response rates but significantly lower colonoscopy participation. British Journal of Cancer (2012) 107, 1051-1058. doi:10.1038/bjc.2012.358 www.bjcancer.com Published online 23 August 2012 (c) 2012 Cancer Research UK
Original languageUndefined/Unknown
Pages (from-to)1051-1058
Number of pages8
JournalBritish Journal of Cancer
Volume107
Issue number7
DOIs
Publication statusPublished - 2012

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