Self-reported screening practices of family physicians participating in the colorectal cancer screening program of the canton of Vaud: a cross-sectional study.

BMC Family Practice
Camille PoroesKevin Selby

Abstract

The organized colorectal cancer (CRC) screening program in the canton of Vaud, Switzerland offers citizens the choice of the faecal immunochemical test (FIT) or colonoscopy via a visit with a family physician (FP). Given the central role of FPs in the program, this study aimed to compare their self-reported preventive practices with the objectives of the program, namely to inform patients about CRC screening and present the choice of colonoscopy and FIT, and to identify factors associated with presenting a choice of tests. Mixed-methods study using an online survey and semi-structured interviews. Participants were FPs from the canton of Vaud who had included ≥1 patient in the screening program. We used multivariate logistic regression to compare FPs offering only colonoscopy to those who offered a choice of tests or FIT. The participation rate was 40% (177 respondents / 443 eligible). Most FPs (68%) reported informing more than 75% of eligible patients about the program. Lack of time (n = 86, 33%) was the principal reason cited for not informing patients. Regarding the screening methods, 20% (n = 36) of FPs prescribed only colonoscopy, 13% (n = 23) only FIT and 65% (n = 115) both screening methods. Predictors of offering only c...Continue Reading

References

Feb 10, 2004·Preventive Medicine·K Allen GreinerEdward F Ellerbeck
May 16, 2008·The American Journal of Gastroenterology·Paul HewitsonLes Irwig
Feb 24, 2012·The New England Journal of Medicine·Enrique QuinteroUNKNOWN COLONPREV Study Investigators
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Oct 7, 2015·Preventive Medicine·Douglas M Puricelli PerinRoss C Brownson
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Oct 19, 2016·European Journal of Gastroenterology & Hepatology·John K TriantafillidisApostolos Papalois
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