ArticlePreventive medicine reports2022
Provider-perceived barriers to patient adherence to colorectal cancer screening.
Article in Preventive medicine reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 2025Pooled it
- The colorectal cancer screening gap in Türkiye: A tripartite survey of barriers among patients and surgeons.Turkish journal of surgery · 2026Article
- Association Between Patient-Provider Relationship Quality and Colorectal Cancer Screening Uptake Among US Adults.Cureus · 2026Article
- Knowledge, Attitudes, and Practices Regarding Colorectal Cancer Screening Among Medical Residents: An Exploratory, Single-Center, Cross-Sectional Study from Egypt.Asian Pacific journal of cancer prevention : APJCP · 2026Article
- Testing the effects of segmented crowdsource-selected messages to improve intentions to follow colorectal cancer screening recommendations: study protocol for a randomized controlled trial.BMC public health · 2026Article
- Mapping colorectal cancer screening workflows in primary care.BMJ public health · 2026Article
- The Effectiveness ofCancers · 2025Article
- Difference-making factors for successful implementation of a multicomponent colorectal cancer screening program in rural clinics (SMARTER CRC).Frontiers in medicine · 2025Article
- Patients' experiences with 'sludge' (administrative burden) in the cancer screening process and its relationship with screening completion, experience and health system distrust.Family medicine and community health · 2024Article
- Racial and sociodemographic distribution of colorectal cancer screening in Canada: A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Provider- and System-Level Barriers and Facilitators to Colonoscopy and Multi-Target Stool DNA for Colorectal Cancer Screening in Rural/Remote Alaska Native Communities.International journal of environmental research and public health · 2023Article
- The Liquid Biopsy Consortium: Challenges and opportunities for early cancer detection and monitoring.Cell reports. Medicine · 2023Review
- Clinical Diagnosis Codes Identify Patients Unlikely to Receive Orders for Fecal Immunochemical Tests.Cancer control : journal of the Moffitt Cancer CenterObservational
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAverage-risk colorectal cancer (CRC) screening remains underutilized in the US. Provider recommendation is strongly associated with CRC screening completion. To inform interventions aimed at improving screening uptake, we examined providers' perspectives on patient and health system barriers to CRC screening adherence, along with associated system-level interventions to improve uptake.
methodsWe conducted an online survey between November and December 2019 with a sample of primary care clinicians (PCCs) and gastroenterologists (GIs) from a validated panel of US clinicians (814 PCCs, 159 GIs; completion rates: 25.3% for PCCs, 29.6% for GIs). Clinicians rated the extent to which each patient and health system factor interferes with patient adherence with CRC screening recommendations and the availability of practice interventions to improve screening rates.
resultsProvider-reported top barriers to CRC screening included patient discomfort with offered screening method (66%), cost (62-64%), and perceived low importance of screening (62%). Additional barriers included providers prioritizing urgent health concerns over screening (45-48%), not offering a choice of screening options (42-48%), lacking time to educate patients about screening (38-45%), and lacking education about available screening options (37-40%). Most frequently reported system-level interventions to improve CRC screening rates included patient education materials (57-62%) and point of care prompts (56-61%). Other interventions were less frequently reported, although variations existed by clinical specialty regarding barriers and interventions.
conclusionsAddressing barriers to CRC screening requires system-level interventions, including provider training on shared decision-making, automated scheduling and reminder processes, and policies to increase clinician time for preventive screening consultations.
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