Iure Kalinine F Souza MD PhD¹*, Luiza A Diniz², Érico Henrique A de Morais², Raquel M Carvalho², Rayane Elen F Silva², Camila G Mendes MSc³ and Eduardo Angelo Braga MD PhD¹

¹Department of Surgery, Gynecology-Obstetrics and Propaedeutics, School of Medicine, Federal University of Ouro Preto, Brazil
²School of Medicine, Federal University of Ouro Preto, Brazil
³Department of Pediatrics, Federal University of Minas Gerais, Brazil

*Corresponding Author: Érico Henrique Araújo de Morais, Department of Surgery, Gynecology and Obstetrics and Propaedeutics, Federal University of Ouro Preto, Brazil.

Received: August 06, 2021; Published: 00-00

Citation: Iure Kalinine F Souza., et al. “Strategies to Increase Colorectal Cancer Screening Rates in Moderate-Risk Population: A Systematic Review". Acta Scientific Gastrointestinal Disorders 4.9 (2021): 34-42.

Abstract

  Evidence from randomized intervention studies indicates that colorectal cancer (CRC) screening is effective in reducing mortality. Thus, this systematic review is aimed to evaluate the factors associated with the success of strategies that increased the adherence to CRC screening tests by medium-risk patients. We grouped each strategy in clusters according to its interventions. Two articles addressing screening by recommendation/education of medical professionals presented an increase of 12.4% and 2.2 times more chance of patients completing screening tests; three resorted to recommendation/education of non-medical health professionals or assistant researchers, in which compliance went from 1% to 29% and 1.6 times more chance of following it through; four used recommendation/education of trained members of the community, in which there were an increase from 6.6% to 26.4%; two provided free FOBT kits available at post offices and pharmacies, in which the increase was of 29.8% to 30%; one sent pamphlets/invitations by mail or inviting patients by phone, in which growth varied from 1.1% to 13.7%; three educated the population via multimedia, which increased the rate to 14% or 15%; five used a mix of interventions, resulting in a growth from 1.7% to 76.9%. The rate increase in adherence to CRC screening tests relates to the guidance provided by a trained multidisciplinary team. Also, the patient-centered clinical method attends to the patient's singularities and thereby uses the best screening methodology based on updated scientific evidence for each population. Moreover, sending personalized newsletters and strengthening contact with patients via phone call/multimedia also increase success chances.

Keywords: Cancer; Colorectal Neoplasms; Diagnosis; Early Intervention; Health Education; Screening; Strategy

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