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The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)
Aims To assess the effect of the provider (GPs versus hospital) on the compliance in returning the faecal occult blood test. To analyse the characteristics of the GP associated with high compliance among his beneficiaries. Methods A questionnaire about screening attitudes was mailed to the 1192 GPs...
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Published in: | Cancer causes & control 2006-02, Vol.17 (1), p.45-52 |
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description | Aims To assess the effect of the provider (GPs versus hospital) on the compliance in returning the faecal occult blood test. To analyse the characteristics of the GP associated with high compliance among his beneficiaries. Methods A questionnaire about screening attitudes was mailed to the 1192 GPs working in 13 districts of the Lazio region. We asked the GPs to participate in a randomised trial, we sampled 130 GPs and about 1/10 of the GPs' 50-75 year old beneficiaries (n = 3657) were invited to be screened at the GP office and 1/10 (3675) at the nearest gastroenterology centre. Results 58.5% of the GPs completed the questionnaire and 22.7% agreed to participate in the trial. The compliance in the GP arm was 50%, in the hospital arm 16% (RR 3.4; 95% CI: 3.13-3.70). There was a high variability in the compliance obtained by the GPs. GPs with more than 25 patients visited/day and those incorrectly recommended screening of colorectal cancer obtained a lower compliance (OR 0.74, 95% CI: 0.57-0.95 and OR 0.76, 95% CI: 0.59-0.97, respectively). Conclusions The involvement of GPs in colorectal cancer screening can be very effective to enhance the compliance, but the effectiveness is dependent on their willingness to be involved. |
doi_str_mv | 10.1007/s10552-005-0380-9 |
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To analyse the characteristics of the GP associated with high compliance among his beneficiaries. Methods A questionnaire about screening attitudes was mailed to the 1192 GPs working in 13 districts of the Lazio region. We asked the GPs to participate in a randomised trial, we sampled 130 GPs and about 1/10 of the GPs' 50-75 year old beneficiaries (n = 3657) were invited to be screened at the GP office and 1/10 (3675) at the nearest gastroenterology centre. Results 58.5% of the GPs completed the questionnaire and 22.7% agreed to participate in the trial. The compliance in the GP arm was 50%, in the hospital arm 16% (RR 3.4; 95% CI: 3.13-3.70). There was a high variability in the compliance obtained by the GPs. GPs with more than 25 patients visited/day and those incorrectly recommended screening of colorectal cancer obtained a lower compliance (OR 0.74, 95% CI: 0.57-0.95 and OR 0.76, 95% CI: 0.59-0.97, respectively). Conclusions The involvement of GPs in colorectal cancer screening can be very effective to enhance the compliance, but the effectiveness is dependent on their willingness to be involved.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-005-0380-9</identifier><identifier>PMID: 16411052</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Netherlands: Springer</publisher><subject>Aged ; Analysis of Variance ; Attitude of Health Personnel ; Beneficiaries ; Cancer ; Cancer screening ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - psychology ; Compliance ; Experimentation ; Factor Analysis, Statistical ; Female ; Gastroenterology ; General practice ; Humans ; Italy ; Logistic Models ; Male ; Mass Screening - utilization ; Medical screening ; Middle Aged ; Occult Blood ; Occult blood testing ; Operating rooms ; Patient Compliance ; Patients ; Physician's Role ; Physician-Patient Relations ; Questionnaires ; Screening tests ; Surveys and Questionnaires ; Tests of compliance</subject><ispartof>Cancer causes & control, 2006-02, Vol.17 (1), p.45-52</ispartof><rights>Copyright 2006 Springer-Verlag</rights><rights>Springer-Verlag 2006</rights><rights>Springer-Verlag 2006.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-c8ed885c6fa0147c229db0fcd844935171b89d0368c31eb6b726ec38c66559ea3</citedby><cites>FETCH-LOGICAL-c376t-c8ed885c6fa0147c229db0fcd844935171b89d0368c31eb6b726ec38c66559ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29736429$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29736429$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16411052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Federici, Antonio</creatorcontrib><creatorcontrib>Rossi, Paolo Giorgi</creatorcontrib><creatorcontrib>Bartolozzi, Francesco</creatorcontrib><creatorcontrib>Farchi, Sara</creatorcontrib><creatorcontrib>Borgia, Piero</creatorcontrib><creatorcontrib>Guastcchi, Gabriella</creatorcontrib><title>The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)</title><title>Cancer causes & control</title><addtitle>Cancer Causes Control</addtitle><description>Aims To assess the effect of the provider (GPs versus hospital) on the compliance in returning the faecal occult blood test. To analyse the characteristics of the GP associated with high compliance among his beneficiaries. Methods A questionnaire about screening attitudes was mailed to the 1192 GPs working in 13 districts of the Lazio region. We asked the GPs to participate in a randomised trial, we sampled 130 GPs and about 1/10 of the GPs' 50-75 year old beneficiaries (n = 3657) were invited to be screened at the GP office and 1/10 (3675) at the nearest gastroenterology centre. Results 58.5% of the GPs completed the questionnaire and 22.7% agreed to participate in the trial. The compliance in the GP arm was 50%, in the hospital arm 16% (RR 3.4; 95% CI: 3.13-3.70). There was a high variability in the compliance obtained by the GPs. GPs with more than 25 patients visited/day and those incorrectly recommended screening of colorectal cancer obtained a lower compliance (OR 0.74, 95% CI: 0.57-0.95 and OR 0.76, 95% CI: 0.59-0.97, respectively). Conclusions The involvement of GPs in colorectal cancer screening can be very effective to enhance the compliance, but the effectiveness is dependent on their willingness to be involved.</description><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Attitude of Health Personnel</subject><subject>Beneficiaries</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - psychology</subject><subject>Compliance</subject><subject>Experimentation</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>General practice</subject><subject>Humans</subject><subject>Italy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mass Screening - utilization</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Occult Blood</subject><subject>Occult blood testing</subject><subject>Operating rooms</subject><subject>Patient Compliance</subject><subject>Patients</subject><subject>Physician's Role</subject><subject>Physician-Patient Relations</subject><subject>Questionnaires</subject><subject>Screening tests</subject><subject>Surveys and Questionnaires</subject><subject>Tests of compliance</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNp10ctqGzEUBmARWho36QN0kSJaKM1i2iNpdOsumDYxBFJSZy00Gk0yRpYcabzI21fGpoFAVrp9_0HwI_SRwHcCIH8UApzTBoA3wBQ0-gjNCJeskZTyN2gGmsuG05Ydo_elrKBCQeEdOiaiJTVLZyguHzy-TcHjNODLPwWPES-iy96WMd7jeVpvwmij83hK9RRS9m6yAc93dxn_rdLHKn_iC3xrY5_WY_F9lXHKKYS6Xeax-m-Lmno6P0VvBxuK_3BYT9Dd71_L-VVzfXO5mF9cN45JMTVO-V4p7sRggbTSUar7DgbXq7bVjBNJOqV7YEI5RnwnOkmFd0w5ITjX3rIT9HU_d5PT49aXydR_OR-CjT5ti5EglALGKvzyAq7SNsf6N0OFYIpQwnlVn19VhIEAyXRFZI9cTqVkP5hNHtc2PxkCZteX2fdlag1m15fZZT4dBm-7te-fE4eCKjjbg1WZUv7_TrVkoqWa_QOzhZdi</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>Federici, Antonio</creator><creator>Rossi, Paolo Giorgi</creator><creator>Bartolozzi, Francesco</creator><creator>Farchi, Sara</creator><creator>Borgia, Piero</creator><creator>Guastcchi, Gabriella</creator><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060201</creationdate><title>The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)</title><author>Federici, Antonio ; Rossi, Paolo Giorgi ; Bartolozzi, Francesco ; Farchi, Sara ; Borgia, Piero ; Guastcchi, Gabriella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-c8ed885c6fa0147c229db0fcd844935171b89d0368c31eb6b726ec38c66559ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Attitude of Health Personnel</topic><topic>Beneficiaries</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - psychology</topic><topic>Compliance</topic><topic>Experimentation</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>General practice</topic><topic>Humans</topic><topic>Italy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mass Screening - utilization</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Occult Blood</topic><topic>Occult blood testing</topic><topic>Operating rooms</topic><topic>Patient Compliance</topic><topic>Patients</topic><topic>Physician's Role</topic><topic>Physician-Patient Relations</topic><topic>Questionnaires</topic><topic>Screening tests</topic><topic>Surveys and Questionnaires</topic><topic>Tests of compliance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Federici, Antonio</creatorcontrib><creatorcontrib>Rossi, Paolo Giorgi</creatorcontrib><creatorcontrib>Bartolozzi, Francesco</creatorcontrib><creatorcontrib>Farchi, Sara</creatorcontrib><creatorcontrib>Borgia, Piero</creatorcontrib><creatorcontrib>Guastcchi, Gabriella</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Federici, Antonio</au><au>Rossi, Paolo Giorgi</au><au>Bartolozzi, Francesco</au><au>Farchi, Sara</au><au>Borgia, Piero</au><au>Guastcchi, Gabriella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)</atitle><jtitle>Cancer causes & control</jtitle><addtitle>Cancer Causes Control</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>17</volume><issue>1</issue><spage>45</spage><epage>52</epage><pages>45-52</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract>Aims To assess the effect of the provider (GPs versus hospital) on the compliance in returning the faecal occult blood test. To analyse the characteristics of the GP associated with high compliance among his beneficiaries. Methods A questionnaire about screening attitudes was mailed to the 1192 GPs working in 13 districts of the Lazio region. We asked the GPs to participate in a randomised trial, we sampled 130 GPs and about 1/10 of the GPs' 50-75 year old beneficiaries (n = 3657) were invited to be screened at the GP office and 1/10 (3675) at the nearest gastroenterology centre. Results 58.5% of the GPs completed the questionnaire and 22.7% agreed to participate in the trial. The compliance in the GP arm was 50%, in the hospital arm 16% (RR 3.4; 95% CI: 3.13-3.70). There was a high variability in the compliance obtained by the GPs. GPs with more than 25 patients visited/day and those incorrectly recommended screening of colorectal cancer obtained a lower compliance (OR 0.74, 95% CI: 0.57-0.95 and OR 0.76, 95% CI: 0.59-0.97, respectively). Conclusions The involvement of GPs in colorectal cancer screening can be very effective to enhance the compliance, but the effectiveness is dependent on their willingness to be involved.</abstract><cop>Netherlands</cop><pub>Springer</pub><pmid>16411052</pmid><doi>10.1007/s10552-005-0380-9</doi><tpages>8</tpages></addata></record> |
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subjects | Aged Analysis of Variance Attitude of Health Personnel Beneficiaries Cancer Cancer screening Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - diagnosis Colorectal Neoplasms - psychology Compliance Experimentation Factor Analysis, Statistical Female Gastroenterology General practice Humans Italy Logistic Models Male Mass Screening - utilization Medical screening Middle Aged Occult Blood Occult blood testing Operating rooms Patient Compliance Patients Physician's Role Physician-Patient Relations Questionnaires Screening tests Surveys and Questionnaires Tests of compliance |
title | The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy) |
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