作者: Sarah T. Hawley , Sally W. Vernon , Bernard Levin , Beryl Vallejo
DOI: 10.1158/1055-9965.EPI-509-2
关键词: Epidemiology 、 Gerontology 、 Family medicine 、 Colorectal cancer 、 Family history 、 Medical record 、 Sigmoidoscopy 、 Fecal occult blood 、 Population study 、 Medicine 、 Colonoscopy
摘要: The primary objective of this study was to determine the prevalence colorectal cancer (CRC) screening among eligible patients in a large medical practice. A secondary compare CRC rates obtained from records with physician self-reported recommendation. We conducted retrospective record review 214 ages ≥ 50 years multispecialty organization Houston, Texas, for receipt fecal occult blood test (FOBT), flexible sigmoidoscopy (SIG), and/or colonoscopy (COL). estimated using two definitions: ( ) FOBT past year or SIG 5 COL 10 years; and b years. Age, gender, race/ethnicity, family history, number chronic conditions, index visit were independent variables. Contingency table logistic regression analysis used associations between outcomes Our population 48% male mean age 63 (range: 53–84 years). One-quarter showed by 3-day kit (51 214) 27% digital rectal exam (57 214). recorded 32% records. Half (54%) had documentation according definition no. 1 19% 2. Screening lower than those derived self-report. findings underscore need interventions improve care settings.