ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2011
Physicians' colorectal cancer screening discussion and recommendation patterns.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03843957 (Effectiveness and Implementation of mPATH-CRC), which is not on this map. Cited by 35 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness and Implementation of mPATH-CRC: a Mobile Health System for Colorectal Cancer Screening
Who cites it
35 citing papers in PubMed.
- The Effectiveness of a Physician-Only and Physician-Patient Intervention on Colorectal Cancer Screening Discussions Between Providers and African American and Latino Patients.Journal of general internal medicine · 2015Trial
- Effect of patient navigation on colorectal cancer screening in a community-based randomized controlled trial of urban African American adults.Cancer causes & control : CCC · 2015Trial
- Comparative effectiveness of audit-feedback versus additional physician communication training to improve cancer screening for patients with limited health literacy.Journal of general internal medicine · 2014Trial
- Patient-provider discussions about colorectal cancer screening: who initiates elements of informed decision making?Journal of general internal medicine · 2012Trial
- Patient activation increases colorectal cancer screening rates: a randomized trial among low-income minority patients.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Trial
- Trial
- Personal and family application of cancer prevention practices among physicians.Scientific reports · 2026Article
- Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening.Trials · 2023Article
- Fecal immunochemical test (FIT) versus colonoscopy: Does knowing that a positive FIT requires a follow-up colonoscopy affect initial decision making in the US?Preventive medicine reports · 2022Article
- Disparities in Colorectal Cancer Screening Practices in a Midwest Urban Safety-Net Healthcare System.Digestive diseases and sciences · 2021Article
- Colorectal Cancer Screening Prevalence and Adherence for the Cancer Prevention Project of Philadelphia (CAP3) Participants Who Self-Identify as Black.Frontiers in oncology · 2021Article
- Implementing a multilevel intervention to accelerate colorectal cancer screening and follow-up in federally qualified health centers using a stepped wedge design: a study protocol.Implementation science : IS · 2020Article
- Breast Cancer Screening Practices for High-Risk Women: A Cross-Sectional Survey of Primary Care Providers.Journal of women's health (2002) · 2020Article
- Have we increased our efforts to identify strategies which encourage colorectal cancer screening in primary care patients? A review of research outputs over time.Preventive medicine reports · 2018Review
- Insurance Coverage for CT Colonography Screening: Impact on Overall Colorectal Cancer Screening Rates.Radiology · 2017Article
- Testing the Effectiveness of a Primary Care Intervention to Improve Uptake of Colorectal Cancer Screening: A Randomized Controlled Trial Protocol.JMIR research protocols · 2017Article
- Influences and Practices in Colorectal Cancer Screening Among Health Care Providers Serving Northern Plains American Indians, 2011-2012.Preventing chronic disease · 2016Article
- Risk assessment and clinical decision making for colorectal cancer screening.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Review
- Colorectal Cancer Screening in US Seniors Ages 76-84 Years.Journal of community health · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPrimary care physician (PCP) actions are pivotal to colorectal cancer (CRC) screening performance, and guidelines recommend discussion with patients about test options and potential benefits and harms. This article profiles patterns of discussion about and recommendations for screening and explores potential associations with multilevel factors (patient, clinician, practice, and environment).
methodsIn 2009, we analyzed data from 1,266 physicians responding to the 2006-2007 National Survey of Primary Care Physicians' Recommendations and Practices for Breast, Cervical, Colorectal, and Lung Cancer Screening (absolute response rate=69.3%; cooperation rate=75.0%). Descriptive statistics examined physicians' reports of discussion and recommendations. Multivariate analyses assessed the associations of these practices with multilevel factors.
resultsAlthough few respondents reported discussion of all options, 46% usually discuss more than one option; the vast majority of these respondents discuss fecal occult blood testing (FOBT) and colonoscopy (49%) or FOBT, sigmoidoscopy, and colonoscopy (32%). Of physicians who discuss more than one option, a majority reported usually recommending one or more test options, most commonly colonoscopy alone (43%) and FOBT and colonoscopy (43%). Several personal characteristics (specialty), perceived patient characteristics (prefer physician to decide), practice characteristics (geographic location), and community barriers (specialist availability) were independently associated with discussion and/or recommendation patterns.
conclusionsPCPs do not discuss the full menu of test options, but many report selecting one or two options for discussion and recommendation. To ensure that patients' perspectives and concerns are elicited and considered, patient decision-making approaches should be considered. IMPACT: Attention to informed decision making in CRC screening will be important for enhancing patient-centered quality care.
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Registered trials
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