Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland.

TitreVariation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland.
Publication TypeJournal Article
Year of Publication2019
AuthorsBraun, ALeonhard, Prati, E, Martin, Y, Dvorak, C, Tal, K, Biller-Andorno, N, Bulliard, J-L, Cornuz, J, Selby, K, Auer, R
JournalInternational journal of public health
Date Published06/2019
Mots-clésColorectal cancer, Decision Making, Practice variation, Primary Care, screening

OBJECTIVES: To determine the proportion of 50-75-year-old patients who visit a primary care physician's (PCP) office and were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood testing (FOBT) within 2 years. To describe the variation in care between PCPs and factors associated with these proportions.

METHODS: Cross-sectional data collected between April and December 2017.

PARTICIPANTS: PCPs reporting for the Swiss Sentinel Surveillance Network. Each PCP collected demographic data and CRC testing status from 40 consecutive patients.

MEASUREMENTS: proportions of patients up to date with CRC screening and method used (colonoscopy/FOBT/Other); variation in the outcome measures between PCPs; association of physician-level factors with main outcomes.

RESULTS: 91/129 PCPs collected data from 3451 patients; 45% had been tested for CRC within recommended intervals (41% colonoscopy, 4% FOBT). The proportions of patients tested and testing with colonoscopy versus FOBT varied widely between PCPs. Language region was associated with PCPs' rate of FOBT prescription.

CONCLUSIONS: Less than half of patients who visited PCPs in Switzerland were tested for CRC within recommended intervals. PCPs varied widely in their testing practices.

Alternate URL

Alternate JournalInt J Public Health
Citation Key / SERVAL ID9611
Peer reviewRefereed
PubMed ID31201428
Grant ListNFP74. 407440_167519 / / Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung /


Institut universitaire de médecine sociale et préventive
Route de la Corniche 10, 1010 Lausanne - Switzerland
+41 21 314 72 72 |

Go to top