Annals of internal medicine
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Randomized Controlled Trial Multicenter Study
An automated intervention with stepped increases in support to increase uptake of colorectal cancer screening: a randomized trial.
Screening decreases colorectal cancer (CRC) incidence and mortality, yet almost half of age-eligible patients are not screened at recommended intervals. ⋯ Compared with usual care, a centralized, EHR-linked, mailed CRC screening program led to twice as many persons being current for screening over 2 years. Assisted and navigated interventions led to smaller but significant stepped increases compared with the automated intervention only. The rapid growth of EHRs provides opportunities for spreading this model broadly.