Perceptions of Iowa Family Physicians Regarding Colorectal Cancer Screening

BACKGROUND: Fewer than half of Americans have been screened for colorectal cancer (CRC), a largely preventable disease. METHODS: All physician members (n = 1030) of the Iowa Academy of Family Physicians were mailed a 3-page investigator-developed survey about their attitudes, barriers, and practices regarding CRC screening. RESULTS: The usable response rate was 29%. Forty-three percent practiced in rural settings. Ninety-five percent felt that they were well informed about American Cancer Society guidelines and 90% tried to follow the guidelines. Most doctors (88%) disagreed with the statement that there was "no time to adequately discuss screening," but they would like more time to discuss screening. Only 40% felt their medical records were organized to easily determine screening status, 40% encouraged office staff to participate in screening, and 16% had a written policy regarding CRC screening. Physicians estimated that they recommend screening to 78% of their patients and that 54% of their patients were actually up-to-date. Discussion of CRC screening was strongly dependent on visit type, with physicians estimating that CRC screening is discussed at 11% of acute visits, 42% of chronic visits, and 87% of health maintenance visits. Several office system factors were associated with a recommendation for screening in a multivariable linear regression model (R = 0.33). CONCLUSIONS: Although nearly all physicians felt that they were well informed about American Cancer Society guidelines and tried to follow guidelines for CRC screening, few had office systems to facilitate screening. Physicians would like more time to discuss screening. Office systems likely have the most potential to improve CRC screening among patients attending primary care practices

Cancer · Cancer screening · Colonoscopy · Colorectal cancer · Colorectal cancer screening · Family medicine · MEDLINE · Colorectal Cancer Screening and Detection · Colorectal Cancer Surgical Treatments · Global Cancer Incidence and Screening · Internal Medicine · Medicine

• Risk assessment and clinical decision making for colorectal cancer screening

  Open Access•Paul C Schroy, Sarah E Caron et al.•Health Expectations•2015

  Incluir item

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  Jeanette M Daly, Barcey T Levy et al.•American Journal of Public Health•2015

  Incluir item

• Improving Colorectal Cancer Screening Through Research in Primary Care Settings

  Carrie N Klabunde, David Lanier et al.•Medical Care•2008

  Incluir item

• Evaluating Approaches to Increase Uptake of Colorectal Cancer Screening

  Sally W Vernon, Helen I Meissner•Medical Care•2008

  Incluir item

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  Lori Gonzalez•Sociological Quarterly•2020

  Incluir item

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  Open Access•Steven S Coughlin, Trevor D Thompson et al.•The Journal of Rural Health•2004

  Incluir item

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  Open Access•Anita Y Kinney, Janna Harrell et al.•The Journal of Rural Health•2006

  Incluir item

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  Kimberly S H Yarnall, Kathryn I Pollak et al.•American Journal of Public Health•2003

  Incluir item

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  Incluir item