{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:22:44Z","timestamp":1791901364223,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"16","license":[{"start":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T00:00:00Z","timestamp":1531440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32 DK07634"],"award-info":[{"award-number":["T32 DK07634"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006808","name":"University of North Carolina","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006808","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2018,8,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Colorectal cancer (CRC) screening is effective but underused. Screening rates are lower among Medicaid beneficiaries versus other insured populations. No studies have examined mailed fecal immunochemical testing (FIT)\u2013based outreach programs for Medicaid beneficiaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a patient\u2010level randomized controlled trial, a mailed CRC screening reminder plus FIT, sent from an urban health department to Medicaid beneficiaries, was compared with the same reminder without FIT. The reminder group could request FIT. Completed FIT kits were processed by the health department laboratory. Respondents were notified of normal results by mail. Abnormal results were given via phone by a patient navigator who provided counselling and assistance with follow\u2010up care. The primary outcome was FIT return.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In all, 2144 beneficiaries at average CRC risk were identified, and there was no evidence of screening with Medicaid claims data. To the reminder+FIT group, 1071 were randomized, and 1073 were randomized to the reminder group; 307 (28.7%) in the reminder+FIT group and 347 (32.3%) in the reminder group were unreachable or ineligible (previous screening). The FIT return rate was significantly higher in the reminder+FIT group than the reminder group (21.1% vs 12.3%; difference, 8.8%; 95% confidence interval, 3.7%\u201013.9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.01). Eighteen individuals (7.2%) who completed FIT tests had abnormal results, and 15 were eligible for follow\u2010up colonoscopy; 66.7% (n\u2009=\u200910) completed follow\u2010up colonoscopy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A health department\u2013based, mailed FIT program targeting Medicaid beneficiaries was feasible. Including a FIT kit resulted in greater screening completion than a reminder letter alone. Further research is needed to understand the comparative cost\u2010effectiveness of these interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.31566","type":"journal-article","created":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T11:07:29Z","timestamp":1531480049000},"page":"3346-3354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Comparative effectiveness of mailed reminders with and without fecal immunochemical tests for\n                    <scp>M<\/scp>\n                    edicaid beneficiaries at a large county health department: A randomized controlled trial"],"prefix":"10.1002","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6421-9982","authenticated-orcid":false,"given":"Alison T.","family":"Brenner","sequence":"first","affiliation":[{"name":"Division of General Medicine and Clinical Epidemiology University of North Carolina School of Medicine  Chapel Hill North Carolina"},{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jewels","family":"Rhode","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Clinical Epidemiology University of North Carolina School of Medicine  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff Y.","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Baker","sequence":"additional","affiliation":[{"name":"Community Care Partners of Greater Mecklenburg  Charlotte North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Drechsel","sequence":"additional","affiliation":[{"name":"Mecklenburg County Public Health Department  Charlotte North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Plescia","sequence":"additional","affiliation":[{"name":"Mecklenburg County Public Health Department  Charlotte North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Reuland","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Clinical Epidemiology University of North Carolina School of Medicine  Chapel Hill North Carolina"},{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Wroth","sequence":"additional","affiliation":[{"name":"Community Care Network of North Carolina  Raleigh North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie B.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Clinical Epidemiology University of North Carolina School of Medicine  Chapel Hill North Carolina"},{"name":"Department of Health Policy and Management, Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,13]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Cancer Society.Cancer Facts & Figures 2017.https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/annual-cancer-facts-and-figures\/2017\/cancer-facts-and-figures-2017.pdf. Accessed October 20 2017."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.6828"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6608a1"},{"key":"e_1_2_8_5_1","first-page":"881","article-title":"Vital signs: colorectal cancer screening test use\u2014United States, 2012","volume":"62","author":"Klabunde C","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.5989"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.03.009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.18.2014"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2016.11.019"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.05.001"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2014.07.001"},{"key":"e_1_2_8_12_1","unstructured":"Healthy People 2020.https:\/\/www.healthypeople.gov\/. Published 2016. Accessed October 31 2017."},{"key":"e_1_2_8_13_1","unstructured":"National Colorectal Cancer Roundtable.80% Pledge.http:\/\/nccrt.org\/80-2018-pledge\/. Accessed May 16 2018."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2012.04.009"},{"key":"e_1_2_8_15_1","first-page":"1725","article-title":"Comparative effectiveness of fecal immunochemical test outreach, colonoscopy outreach, and usual care for boosting colorectal cancer screening among the underserved","volume":"173","author":"Gupta S","year":"2013","journal-title":"JAMA Intern Med."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29770"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2506-1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-5-201303050-00002"},{"key":"e_1_2_8_19_1","unstructured":"Community Care of North Carolina. About us.https:\/\/www.communitycarenc.org\/who-we-are. Accessed November 13 2017."},{"key":"e_1_2_8_20_1","unstructured":"Community Care of North Carolina.Care management.https:\/\/www.communitycarenc.org\/what-we-do\/care-management. Accessed May 16 2018."},{"key":"e_1_2_8_21_1","unstructured":"National Committee for Quality Assurance. Colorectal cancer.http:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality\/2017-table-of-contents\/colorectal-cancer. Accessed December 4 2017."},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2012.01.110055"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12052"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1331\/JAPhA.2010.09199"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-015-0650-0"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.12.016"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.04.020"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.332"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.1294"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2017.03.007"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.11389"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2015.367"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-016-0165-y"}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncr.31566","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.31566","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cncr.31566","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.31566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:20:42Z","timestamp":1761862842000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.31566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,13]]},"references-count":32,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2018,8,15]]}},"alternative-id":["10.1002\/cncr.31566"],"URL":"https:\/\/doi.org\/10.1002\/cncr.31566","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"value":"0008-543X","type":"print"},{"value":"1097-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,13]]},"assertion":[{"value":"2017-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}