Identifying opportunities for improved colorectal cancer screening in primary care

Preventive Medicine
Parita PatelTushar Patel

Abstract

Although current recommendations advocate screening persons 50 years of age or older for colorectal cancer (CRC), actual screening practice is highly variable among primary care physicians (PCPs). Knowledge of the factors that influence whether or not screening is offered during a clinic visit is essential to develop effective screening strategies. A cross-sectional telephone survey of one in four randomly selected patients aged 50 years or older (n = 400) attending a primary care clinic within an integrated health care system in central Texas was conducted. A survey of all PCPs (n = 32) at the practice sites was also administered. The visit type was an important determinant of whether CRC screening was discussed, with most discussion occurring during visits for physicals (P < 0.0001). This finding was corroborated by the physician survey. Patient age and education were also associated with a higher likelihood of having been offered CRC screening (P = 0.009 and 0.014, respectively). Patient race, gender, primary language, PCP, or clinics attended were not significantly associated with the discussion of CRC screening. Discussions regarding CRC screening are most likely to occur during preventive care visits. Thus, facilitating p...Continue Reading

References

Jan 1, 1984·Preventive Medicine·F A MacraeJ F Garner
Jun 1, 1995·American Journal of Public Health·L M Anderson, D S May
Apr 7, 1993·Journal of the National Cancer Institute·N P GordonD I Lampert
Jun 8, 2001·Preventive Medicine·E R WeitzmanK V Goins

❮ Previous
Next ❯

Citations

Dec 22, 2010·Journal of Health Communication·Philip J CiampaRussell L Rothman
Apr 29, 2005·Journal of General Internal Medicine·Celette Sugg SkinnerLori A Bastian
May 31, 2007·Journal of General Internal Medicine·Carrie N KlabundeSidney J Winawer
Aug 22, 2007·Journal of General Internal Medicine·Sarah B WackerbarthSteven A Haist
Feb 7, 2009·Journal of Psychosocial Oncology·Jamillah BerryChristopher Flowers
Nov 23, 2007·Cancer Detection and Prevention·Shawna V HudsonBenjamin F Crabtree
Jan 2, 2007·Preventive Medicine·Nancy K JanzSteven J Katz
Nov 14, 2006·Patient Education and Counseling·Sarah B WackerbarthSteven A Haist
Aug 15, 2006·American Journal of Preventive Medicine·Jennifer Elston LafataL Keoki Williams
Mar 15, 2006·American Journal of Preventive Medicine·Anna P SchenckWilliam W Davis
May 20, 2016·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Mustafa Kürşat Şahin, Servet Aker
Apr 1, 2008·Cancer Control : Journal of the Moffitt Cancer Center·Peggy A HannonDeborah J Bowen
Apr 26, 2014·Asian Pacific Journal of Cancer Prevention : APJCP·Daud NorwatiAbdul Rahim Amry
Oct 14, 2006·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Amy S UelandBeverly Greenwald

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.