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Updated: May 2, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Providers role in colonoscopy screening for colorectal cancer
Prakash Ramdass1, Paul Petraro2, Christina Via3
1Thornbury Medical Care, Assistant Professor, American University of Barbados, School of Medicine, St. Michael, Barbados.
Objectives:
To examine predictors of provider recommendations for colorectal cancer (CRC).
Methods:
We examined proportions of patients without prior screening for colonoscopy and their willingness to get a colonoscopy if recommended by a healthcare provider.
Results:
The rate of CRC screening with a colonoscopy within the recommended guidelines was 35%; provider recommendation rate for colonoscopy screening was 34.9%; and never-screened patients would receive a colonoscopy 78% when recommended by a provider. Provider recommendation was the best predictor for receiving a screening colonoscopy (OR 4.19; 95% CI, 1.91-9.22, p < .01).
Conclusions:
Physician recommendation for colonoscopy is the most effective strategy to promote screening colonoscopy in the US, but only one third of eligible patients recall such counseling.
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