De-Implementation of Outdated Colonoscopy Surveillance Interval Recommendations among Patients with Low-Risk Adenomas (DESIRE)

Recent guidelines have extended surveillance intervals for patients with low-risk adenomas from 5 years to 10. However, it remains unclear how to implement this change. In a pragmatic randomized 2-arm study of 1,000 patients with a history of low-risk adenomas and a standing 5-year surveillance recommendation, we will compare the effectiveness of secure messaging versus mailed outreach for adopting the new 10-year surveillance interval recommendation, continuing with the standing 5-year recommendation, or requesting a provider encounter (e.g., clinic or virtual visit) for shared decision making.

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