A recent study spearheaded by the University of Arizona Health Sciences has revealed that patient navigators play a crucial role in increasing colonoscopy follow-ups for individuals with abnormal stool test results. Published in the Annals of Internal Medicine, the findings indicate that 55% of patients assisted by navigators underwent colonoscopies within a year, compared to just 42.5% receiving standard care. This initiative highlights the importance of timely intervention to reduce colorectal cancer risks and improve early detection.

Dr. Gloria Coronado, the lead author of the study and associate director of population science at the U of A Cancer Center, emphasized the critical need for swift follow-up procedures. Abnormal fecal immunochemical test (FIT) results necessitate immediate attention to prevent advanced cancer stages. The PRECISE trial, conducted across Sea Mar Community Health Centers in Washington, involved 970 participants aged 50-75 with recent abnormal FIT outcomes. Among them, 479 were assigned to dedicated patient navigators, while others received conventional care involving phone calls and letters.

The navigators adopted a structured approach, addressing six key areas through scheduled interactions. These included introducing themselves, assessing barriers, providing bowel preparation instructions, reminders, check-ins, and final follow-ups post-procedure. Persistent efforts ensured multiple attempts to connect with patients, enhancing overall engagement. Consequently, navigation led to a significant 12% improvement in one-year colonoscopy completion rates over traditional methods. Moreover, the average time taken to undergo the procedure was reduced by 27 days among those guided by navigators.

Coronado advocates for standardized navigation protocols in clinics to ensure patients are promptly informed about their test results and comprehend the significance of colonoscopies. Colorectal cancer ranks third among cancer-related deaths in U.S. men and fourth in women, underscoring the urgency of effective interventions. With support from the National Cancer Institute, this study underscores the potential of patient navigation in reducing mortality rates associated with delayed procedures.

Implementing such strategies could drastically cut colorectal cancer fatalities. Dr. Coronado envisions a future where clinics adopt navigator systems to assist patients with abnormal test results, ensuring they receive necessary care efficiently and effectively.