Study of Patient Navigation to Promote Colon Cancer Screening

Cambridge Health Alliance

Status

Completed

Conditions

Colorectal Cancer Screening

Treatments

Other: Patient navigation

Other: Usual care

Study type

Interventional

Funder types

Other

Identifiers

NCT01141114

MRSGT-05-007-01-CPPB

Details and patient eligibility

About

This study will investigate whether patient navigation can increase rates of colorectal cancer screening among linguistically and culturally diverse disadvantaged patients served by urban community health centers.

Enrollment

465 patients

Sex

All

Ages

52 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients aged 52-75 who had one visit to a primary care physician in a community health center in each of the 2 previous years and who have not received colorectal cancer screening based on HEDIS criteria.

Exclusion criteria

Current cancer diagnosis, undergoing treatment (or treatment completed within the past year)
Severe cardiac disease (high-risk CAD,9 valvular disease, NYHA Class III or IV CHF, EF < 35%)
Severe COPD (FEV1< 1liter or on home oxygen)
CVA with severe functional impairment (aphasia or hemiparesis)
MS with severe functional impairment
Renal failure with CrCl< 30 or on dialysis
Gastrointestinal symptoms (pain, bleeding, etc) within the past 6 months
Chronic active liver disease or cirrhosis, with albumin < 3 or elevated INR
Advanced HIV disease (CD4 count <200)
Severe lupus (with cerebritis or renal failure as defined above)
Severe complications of diabetes (blindness, amputations other than toes)
Advanced Dementia
Psychosis
Paranoia
Active substance abuse
Schizophrenia
Psychiatric hospitalization within the past year