J Med Screen 2008;15:105-107
doi:10.1258/jms.2008.007093
© 2008 Medical Screening Society
Telephone assessment increases uptake of colonoscopy in a FOBT colorectal cancer-screening programme
J Rodger, Colorectal Nurse Specialist
,
Colorectal Unit, Ninewells Hospital and Medical School, Dundee, UK
R J C Steele, Professor of Surgery
,
Department of Surgery and Molecular Oncology, Ninewells Hospital and Medical School, Dundee, UK
Correspondence to: Professor R J C Steele, Department of Surgery and Molecular Oncology, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK; r.j.c.steele{at}dundee.ac.uk
In faecal occult blood test (FOBT) screening for colorectal
cancer, face-to-face consultation for pre-colonoscopy assessment
has significant resource implications. For this reason, providing
the option of telephone interview for this purpose was evaluated.
In the second year of the third round of screening in Tayside,
all FOBT-positive individuals were offered pre-colonoscopy assessment
by means of telephone interview. This was evaluated by comparing
the results with those obtained in the first year, when only
face-to-face consultation was available. Of 388 individuals
offered the choice of telephone interview or face-to-face consultation,
330 (85.1%) chose telephone interview, and all but two of the
remainder underwent face-to-face consultation. When compared
with the preceding year, there was a highly significant reduction
in the numbers not attending for colonoscopy (0.8% versus 14.9%,
P < 0.0001) Telephone interview is an acceptable form of
pre-colonoscopy assessment for the majority of FOBT-positive
participants in a colorectal screening programme, and the policy
of offering this approach is associated with a marked reduction
in the colonoscopy default rate.

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