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Published on: September 27, 2024
Physicians' colorectal cancer screening discussion and recommendation patterns
Jane M Zapka1, Carrie N Klabunde, Neeraj K Arora
1Department of Medicine, Division of Biostatistics and Epidemiology, 135 Cannon Street, Medical University of South Carolina, Charleston, SC 29425, USA. zapka@musc.edu
Summary
Primary care physicians (PCPs) often discuss limited colorectal cancer (CRC) screening options. Enhancing patient-centered care requires considering patient decision-making approaches for CRC screening.
Area of Science:
- Oncology
- Public Health
- Health Services Research
Background:
- Primary care physician (PCP) involvement is crucial for effective colorectal cancer (CRC) screening.
- Guidelines advocate for discussions on CRC screening test options, including benefits and harms.
Purpose of the Study:
- To examine patterns of discussion and recommendations for CRC screening by PCPs.
- To explore associations between these practices and patient, clinician, practice, and environmental factors.
Main Methods:
- Analysis of data from 1,266 physicians from the 2006-2007 National Survey of Primary Care Physicians' Recommendations and Practices for Cancer Screening.
- Descriptive statistics and multivariate analyses to assess discussion/recommendation patterns and associated factors.
Main Results:
- While few PCPs discuss all CRC screening options, 46% discuss multiple tests, commonly fecal occult blood testing (FOBT) and colonoscopy.
- Most PCPs discussing multiple options recommend one or more tests, frequently colonoscopy alone or FOBT and colonoscopy.
- Physician specialty, patient preference for physician decision-making, practice location, and specialist availability were associated with screening discussion and recommendation patterns.
Conclusions:
- PCPs often limit the number of CRC screening options discussed and recommended.
- Incorporating patient decision-making approaches is essential for patient-centered CRC screening.
- Focusing on informed decision-making can improve the quality of CRC screening care.
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