BACKGROUND: @entity14 ( @entity14 ) survivors are at increased risk of developing the disease again. Surveillance guidelines are aimed at maximising the early detection of recurring or new @entity5 and pre-cancerous @entity1127 . The frequency and type of surveillance recommended depends on the type of treatment for the initial @entity14 , the extent of colonoscopic investigation prior to treatment and the results of previous surveillance tests. This paper aimed to test the effect of a paper-based educational intervention to improve adherence to colonoscopy following treatment for @entity14 . METHODS: @entity1 with a diagnosis of @entity14 within the last 10  months, aged >= 18 and English speaking were recruited through a population-based @entity5 registry in Australia. @entity1 were randomly allocated to either the intervention or control. @entity1 completed an interview at baseline. Self-reported participation in colonoscopy was obtained at 12  month followup by survey. Those allocated to the control received a generic pamphlet on @entity14 treatment; while intervention @entity1 received a letter which provided specific information about guideline recommendations for surveillance colonoscopy. Rates of guideline adherence were compared between groups. The guideline recommendations for the timing of surveillance colonoscopy changed part way through the study. This change occurred after all intervention materials had been sent, but prior to all @entity1 completing the 12  month follow up. Post hoc analyses were conducted to assess adherence to the new guidelines. RESULTS: Of the 767 @entity1 , 604 (79%) had had surgery, had stage I - III disease and completed the baseline interview within 12  months of diagnosis (intervention   =   305; control   =   299). There was no significant difference between those adherent to surveillance colonoscopy guidelines, in the control (67, 27%) and intervention groups (80, 31%) at followup (difference   =   4.3% (95%CI:-3.7%, 12%),    (2)(1df)   =   1.09, P   =   0.296). Overall, 246 (49%) @entity1 were adherent to the new guidelines, compared to 147 (29%) adherent to the old guidelines. CONCLUSIONS: Results indicate the paper-based educational intervention is not effective in improving adherence to @entity14 surveillance guidelines for colonoscopy. TRIAL REGISTRATION NUMBER: ACTRN12609000628246 Registration date: 28/07/2009.

Improving adherence to XXXX surveillance guidelines: results of a randomised controlled trial.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancers', 'cancer'] @entity1 :: ('9606', 'Species') :: ['participants', 'Participants', 'People'] @entity1127 :: ('MESH:D011127', 'Disease') :: ['polyps'] @entity14 :: ('MESH:D015179', 'Disease') :: ['Colorectal cancer', 'CRC', 'colorectal cancer']
@entity14 :: (MESH:D015179,Disease) :: ['colorectal cancer']
