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Screening sigmoidoscopy. Factors associated with utilization

S F Lewis1, N M Jensen

  • 1Department of Medicine, University of Wisconsin School of Medicine, Madison, USA.

Journal of General Internal Medicine
|September 1, 1996
PubMed
Summary
This summary is machine-generated.

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Screening sigmoidoscopy (SS) can lower colorectal cancer deaths, but few doctors recommend it. Patient-reported pain is a significant barrier to SS compliance, even when advised by clinicians.

Area of Science:

  • Gastroenterology
  • Preventive Medicine
  • Public Health

Background:

  • Screening sigmoidoscopy (SS) is proven to reduce colorectal cancer mortality.
  • Despite its benefits, SS uptake remains low, with under 50% of primary care physicians routinely recommending it and less than 10% of eligible patients receiving the test.

Purpose of the Study:

  • To investigate patient-reported barriers and facilitators influencing compliance with screening sigmoidoscopy (SS).

Main Methods:

  • A cross-sectional survey was administered to general medicine patients to identify factors associated with SS compliance.
  • Statistical analysis was used to determine the relationships between clinician advice, perceived benefits, family history, perceived pain, and SS uptake.

Main Results:

Related Experiment Videos

  • Clinician advice, perceived benefits, and having a family history of SS were positively associated with test compliance.
  • Perceived pain emerged as a significant barrier, capable of diminishing the impact of clinician recommendations.

Conclusions:

  • Addressing patient-perceived pain is crucial for improving screening sigmoidoscopy (SS) compliance.
  • Targeting factors such as clinician advice and perceived benefits, alongside pain management, can enhance SS screening rates and reduce colorectal cancer mortality.