Use of Screening Tests for Colorectal Cancer Among Gynecologists in Puerto Rico.

Area of Science:

• Oncology
• Public Health
• Gastroenterology

Background:

• Colorectal cancer (CRC) screening is crucial for early detection and improved patient outcomes.
• Gynecologists play a role in patient screening and referral for CRC.
• Adherence to established CRC screening guidelines is essential for effective cancer prevention strategies.

Purpose of the Study:

• To assess the current practices of colorectal cancer (CRC) screening among gynecologists in Puerto Rico.
• To evaluate the adherence of these healthcare professionals to established CRC screening guidelines.
• To identify potential gaps in CRC screening protocols within this specific demographic.

Main Methods:

• A self-administered anonymous questionnaire was distributed to 440 practicing gynecologists in Puerto Rico.
• The survey collected data on general and specific CRC screening practices and adherence to guidelines.
• A response rate of 23.2% was achieved, with 102 gynecologists participating.

Main Results:

• 77.5% of participating gynecologists referred patients for CRC screening.
• The Fecal Occult Blood Test (FOBT) was the most common initial screening test (28.4%), followed by colonoscopy (27.5%).
• Only 7% of participants fully complied with all CRC screening guidelines, while 49% adhered to starting age recommendations.

Conclusions:

• The majority of surveyed gynecologists in Puerto Rico are not adhering to recommended colorectal cancer (CRC) screening guidelines.
• Significant discrepancies exist in screening frequency, starting age, and cessation age recommendations.
• Further investigation into the reasons for non-compliance and targeted educational interventions are necessary to improve CRC screening rates in Puerto Rico's female population.