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Carlos is currently leading a clinical trial that randomizes women to receive education during their mammogram appointments about either colorectal cancer screening or diabetes screening. The researchers will review the women's records up to a year later to see if they get checked for colon cancer or spoke to their physicians about it.

If this approach works for colon cancer screening, it could also work for other tests that are under-utilized even though they're known to catch or prevent disease early, or allow for effective intervention, says Fendrick. From bone density scans to adult vaccines, he notes, "If we have a test that's at 80 percent adherence and another that's at 20, we should go to the 80 percent to encourage them to have that other test."

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Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
15-May-2004