Colorectal cancer screening by primary care physicians: recommendations and practices, 2006-2007.

摘要: Background Primary care physicians (hereafter, physicians) play a critical role in the delivery of colorectal cancer (CRC) screening U.S. This study describes CRC recommendations and practices compares them to findings from 1999–2000 national provider survey. Methods Data 1266 responding 2006–2007 National Survey Care Physicians' Recommendations Practices for Breast, Cervical, Colorectal, Lung Cancer Screening (cooperation rate=75%) were analyzed 2008. Descriptive statistics used examine physicians' as well office systems support activities. Sample weights applied analyses obtain estimates. Results Ninety-five percent routinely recommend colonoscopy asymptomatic, average-risk patients; 80% fecal occult blood testing (FOBT). Only minority sigmoidoscopy, double-contrast barium enema, computed tomographic colonography, or DNA testing. Fifty-six two modalities; 17% one. Nearly all who endoscopy refer their patients procedure. Four perform 25-percentage-point decline 1999–2000. Although 61% reported that practice had guidelines screening, only 30% use reminders; 15% patient reminders. Conclusions have changed substantially since Colonoscopy is now most frequently recommended test. Most do not full menu test options prescribed guidelines. Few sigmoidoscopy. Office are lacking many practices. Given ongoing changes technologies guidelines, continued monitoring imperative.