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Evaluation of a High-risk Patient Reminder System for Colonoscopy Surveillance

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Objectives: In this paper we report the evaluation of a proprietary recall system for promoting compliance with recommended follow-up in high-risk patients. Methods: We conducted a retrospective chart review for patients of an active private colon and rectal surgery practice having colonoscopy in 2006. Patients selected were <80 years of age and assessed to be high-risk by findings at exam or personal/family history of colorectal neoplasm with a recommendation for follow-up surveillance colonoscopy ranging from months to 5 years. Up to 6 months from recommendation was considered to be within compliance. Results: A total of 795 patients met the inclusion criteria, with average age of 63.2 years, 422 (53.1%) being men. Compliance with surveillance colonoscopy recommendations was 62.5%. The recall system impacted patient behavior with compliant patients being sent a median of one letter (average, 1.5) and late or no follow-up patients being sent a median of 4 letters (average, 3.9). Conclusions: Multiple contacts with patients are required to improve compliance with surveillance. Our findings support at least 4 to 5 efforts to remind patients of the importance to schedule a colonoscopy is necessary to optimize compliance.
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Keywords: COLONOSCOPY; COMMUNITY HEALTH; COMPLIANCE; HEALTH PROMOTION; SURVEILLANCE

Document Type: Research Article

Affiliations: 1: University of Oklahoma Health Sciences Center, Department of Surgery. Surgical Resident, Oklahoma City, OK;, Email: [email protected] 2: LSU Health Sciences Center, Professor, School of Allied Health, Shreveport, LA 3: LSU Health Sciences Center, School of Medicine, Department of Surgery, H. Whitney Boggs Professor of Colon and Rectal Surgery, Clinical Associate Professor of Surgery, Shreveport, LA

Publication date: July 1, 2019

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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