PMID: 11903761Mar 21, 2002Paper

Attitudes toward colorectal cancer screening tests

Journal of General Internal Medicine
B S LingP C Schroy

Abstract

To examine patient and physician preferences in regard to 5 colorectal cancer screening alternatives endorsed by a 1997 expert panel, determine the impact of patient and physician values regarding certain test features on screening preference, and assess physicians' perceptions of patients' values. Cross-sectional survey. A general internal medicine practice at an academic medical center in 1998. Patients (N=217; 76% response rate) and physicians (N=39; 87% response rate) at the study setting. Patients preferred fecal occult blood testing (43%) or colonoscopy (40%). In patients for whom accuracy was the most important test feature, colonoscopy (62%) was the preferred screening method. Patients for whom invasive test features were more important preferred fecal occult blood testing (76%; P <.001). Patients and physicians were similar in their values regarding the various test features. However, there was a significant difference between physicians' perceptions of which test features were important to patients compared with the patients' actual responses (P <.001). The largest discrepancy was for accuracy (patient actual 54% vs physician opinion 15%) and discomfort (patient actual 15% vs physician opinion 64%). Patients have dist...Continue Reading

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