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IMAGE: Screening is one of the most powerful tools for preventing or detecting colorectal cancer early, when it is curable, said Regenstrief Institute research scientist Thomas Imperiale, M.D. view more
Credit: Regenstrief Institute
Black people have a higher risk of colorectal cancer than white people, but this risk is likely not due to genetics. Data from a recent study by researchers from the U.S. Department of Veterans Affairs, Regenstrief Institute and Indiana University School of Medicine adds more data to the existing evidence. The next step is determining what is behind this increased risk, said lead author Thomas Imperiale, M.D., Regenstrief Institute research scientist, VA investigator and professor of gastroenterology and hepatology at IU School of Medicine. Lifestyle and healthcare-related behaviors may explain some of the difference.
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Automated text message reminders and instructions did not improve outpatient colonoscopy attendance and bowel preparation adherence versus usual care, according to results from a pragmatic randomized trial.
Among 753 randomized patients, achievement of the primary outcome of appointment attendance with good or excellent bowel preparation was similar in the intervention and control groups at 53.1% and 54.4%, respectively (
P=0.73).
This finding held after patient stratification by time of enrollment (early or late). Similarly, no significant differences emerged in secondary outcomes, including appointment attendance rate, bowel preparation quality graded as poor or inadequate, fair or adequate, and good or excellent, and cancellation lead time in number of days.