Mailed Outreach Boosted Cancer Screenings in NYC
A new program successfully increased colorectal cancer screening rates among underserved adults in Brooklyn.
Updated on Oct. 12, 2026 in Cancer
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Would you prefer to use an at-home screening kit if offered by your healthcare provider?
A mailed outreach program significantly increased colorectal cancer screening rates by 12 percentage points among underserved adults in Brooklyn. Participants receiving the mailed kits also showed a substantially higher rate of colonoscopy completion after abnormal results.
Why it matters
Colorectal cancer screening rates have historically remained low at federally qualified healthcare centers in New York City. Addressing these barriers is critical for early detection and improved patient outcomes in vulnerable communities.
The study of 2,007 adults found that mailed screening kits resulted in a 12 percentage point absolute increase in completion compared to standard care. Additionally, colonoscopy completion after abnormal test results reached 92% in the outreach group versus 54% in standard care.
The players
Federally Qualified Healthcare Centers
These community-based health providers receive federal funding to provide primary care services in underserved areas.
The details
The intervention involved sending letters with screening instructions and automated reminders to return test kits. Participants who received abnormal test results were further supported with vouchers for colonoscopy preparation and transportation services.
Timeline
The screening completion timeframe was monitored over a 6-month period following participant randomization.
Health Landscape
The study updates adherence metrics for the U.S. Preventive Services Task Force colorectal cancer screening recommendations by providing evidence that targeted outreach helps bridge gaps in compliance. These findings demonstrate how direct intervention programs can evolve medical standards for marginalized patient populations.
This program demonstrates that receiving screening kits by mail can simplify the diagnostic process for patients who face barriers to traditional clinic visits. By providing transportation and preparation vouchers for colonoscopies, the outreach ensures that follow-up care is both accessible and affordable.
The takeaway
Proactive outreach using mailed testing kits can be an effective tool for improving health equity in urban areas. Residents should consult their primary care provider about available screening options to ensure early detection of potential health issues.
Further reading
Learn more about local efforts to improve outcomes in the New York City Cancer section.
Live Poll
Would you prefer to use an at-home screening kit if offered by your healthcare provider?
