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Updated: Jun 24, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Bowel cancer screening--a role for general practice.

Linda Foreman¹

¹General Practice Network South, Adelaide, South Australia. lforeman@health.on.net

Australian Family Physician

|April 8, 2009

Summary

Australian guidelines recommend regular bowel cancer screening using faecal occult blood tests (FOBT) for individuals over 50. General practitioners play a key role in the National Bowel Cancer Screening Program (NBCSP), from encouraging participation to managing positive results and targeted investigations.

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Last Updated: Jun 24, 2026

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Public Health
Gastroenterology
Oncology

Background:

Australian guidelines advocate for regular faecal occult blood tests (FOBT) in asymptomatic individuals over 50 to reduce bowel cancer mortality.
The National Bowel Cancer Screening Program (NBCSP) was established in August 2006 following assessments of feasibility, acceptability, and cost-effectiveness.
The program initially targeted specific age groups within Australia.

Purpose of the Study:

To discuss the establishment and background of the NBCSP.
To outline the crucial role of general practitioners (GPs) in the context of bowel cancer screening.

Main Methods:

This article is a discussion-based review.
It synthesizes information regarding the NBCSP and general practitioner involvement.

Main Results:

General practitioners are integral to the NBCSP's success.
Key GP roles include promoting screening uptake, managing positive FOBT results, and facilitating referrals.
GPs also manage patients requiring diagnostic investigations or surveillance due to symptoms or family history.

Conclusions:

GPs are essential in encouraging participation in the NBCSP.
Effective management of positive FOBT results and appropriate referrals are critical GP functions.
GPs must also identify and manage individuals not covered by the current NBCSP phases but who require bowel cancer screening or surveillance.