Automated reminder system nearly doubles colonoscopy compliance rate

A simple system of letters and telephone calls using electronic medical records (EMRs) significantly improved adherence to endoscopic follow-up recommendations among persons due for a colonoscopy examination.

The study began with a review of 2,609 EMRs from colonoscopies performed 5 years earlier. A total of 830 persons due for a repeat surveillance colonoscopy examination were identified and assigned either to standard care (procedures scheduled by the primary care provider [PCP] or directly by the patient, with no standardized reminder system used) or to a newly developed follow-up system.

The new, EMR-based system is initiated when a provider orders a follow-up test. The system notifies the PCP 4 months before the procedure due date, and at the 3-month mark, the patient is sent a standard reminder letter. An identical letter is sent 1 month before the due date. If the due date passes with no procedure scheduled or completed, the system alerts administrative staff to call the patient.

Within 6 months of the colonoscopy due date, 241 (44.7%) of patients in the intervention arm had scheduled or completed the procedure, compared with 66 (22.6%) in the control group.

“This work provides justification for the creation of reminder systems to improve patient adherence to medical recommendations,” concluded the investigators (Gastroenterology. 2011;140:1166-1173; http://download.journals.elsevierhealth.com/pdfs/journals/0016-5085/PIIS0016508511000072.pdf).

Loading links....
You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs