Screening Refusal Associated with Choice of Colorectal Cancer Screening Methods. A Cross-sectional Study Among Swiss Primary Care Physicians.

TitleScreening Refusal Associated with Choice of Colorectal Cancer Screening Methods. A Cross-sectional Study Among Swiss Primary Care Physicians.
Publication TypeJournal Article
Year of Publication2019
AuthorsMartin, Y, Braun, ALeonhard, Biller-Andorno, N, Bulliard, J-L, Cornuz, J, Selby, K, Auer, R
JournalJournal of general internal medicine
Volume34
Issue8
Pagination1409-1411
Date Published08/2019
DOI10.1007/s11606-019-05096-2
ISSN1525-1497
Abstract

Guidelines recommend primary care physicians (PCPs) offer patients a choice of colorectal cancer (CRC) screening methods, including colonoscopy and fecal occult blood tests (FOBT). However, in countries like the USA and Switzerland, patients are screened almost exclusively with colonoscopy. When offered both tests, patients appear as likely to choose one as the other; the predominance of colonoscopy may largely be explained by physician preference and local medical culture. Offering only colonoscopy might explain why screening rates are low.
We sought to determine the proportions of patients who opted for screening with colonoscopy or FOBT and who refused testing among 50–75 year olds eligible for screening at a PCP visit. We described variation in care between PCPs and tried to identify PCP-level factors associated with testing method and refusal.

Alternate URL

https://www.ncbi.nlm.nih.gov/pubmed/31190255?dopt=Abstract

First publication date (online)

06/2019

Alternate JournalJ Gen Intern Med
Citation Key / SERVAL ID9612
Peer reviewRefereed
PubMed ID31190255

                         

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