Colorectal Cancer Testing Among Patients Cared for by Iowa Family Physicians

Colorectal cancer (CRC) can be largely prevented or effectively treated, yet about half of eligible Americans have not been screened. The purpose of this study was to examine patient and physician factors associated with documented CRC testing according to national guidelines. Cross-sectional study...

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Bibliographic Details
Published in:American journal of preventive medicine 2006-09, Vol.31 (3), p.193-201
Main Authors: Levy, Barcey T., Dawson, Jeffrey, Hartz, Arthur J., James, Paul A.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Colonoscopy - statistics & numerical data
Colorectal Neoplasms - diagnosis
Cross-Sectional Studies
Family Practice - statistics & numerical data
Female
Humans
Iowa
Male
Mass Screening - statistics & numerical data
Middle Aged
Patient Satisfaction
Rural Population
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Summary:Colorectal cancer (CRC) can be largely prevented or effectively treated, yet about half of eligible Americans have not been screened. The purpose of this study was to examine patient and physician factors associated with documented CRC testing according to national guidelines. Cross-sectional study where 511 randomly selected rural patients aged 55 to 80 years of 16 board-certified Iowa family physicians were enrolled in 2004. Patient survey and medical record information were linked with physician surveys. Predictors of CRC testing were examined using a regression procedure that accommodated random physician effects (2005–2006). Forty-six percent of patients were up-to-date with CRC testing in accordance with national guidelines. This percentage varied from 5% to 75% by physician ( p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2006.04.008