Effect of physician recommendation and patient adherence on rates of colorectal cancer testing

作者: P. Brawarsky , D.R. Brooks , L.A. Mucci , P.A. Wood

DOI: 10.1016/J.CDP.2004.04.006

关键词:

摘要: Abstract This study explored: (1) patient characteristics associated with physician recommendation for colorectal cancer (CRC) screening and adherence to recommendation, (2) the combined effect of on CRC testing, broadly defined. Data were from 1999 MA BRFSS a call-back survey 869 participants, age 50 older. Logistic regression was used identify correlates adherence, testing. Patient–physician factors positively Inadequate health insurance negatively (OR = 0.45, 95% CI=0.27–0.78) testing 0.64, CI=0.38–1.1). Men not more likely be recommended 1.1, CI=0.78–1.5), but adhere 1.9, CI=1.2–2.0) tested 1.4, CI=1.0–1.9). There gender differences in when considering risk factor measures. Research is needed understand adherence. Greater encouragement follow-through may groups less adhere.

参考文章(36)
S. T. Hawley, Sally W Vernon, B. Levin, Colorectal cancer screening by primary care physicians in two medical care organizations. Cancer Detection and Prevention. ,vol. 25, pp. 309- 318 ,(2001)
David F. Ransohoff, Robert S. Sandler, Screening for Colorectal Cancer New England Journal of Medicine. ,vol. 346, pp. 40- 44 ,(2002) , 10.1056/NEJMCP010886
Carla J. Herman, Richard M. Hoffman, Kathy K. Altobelli, Variation in recommendations for cancer screening among primary care physicians in New Mexico. Journal of Community Health. ,vol. 24, pp. 253- 267 ,(1999) , 10.1023/A:1018790104934
Stephenie Lemon, Jane Zapka, Elaine Puleo, Roger Luckmann, Lisa Chasan-Taber, Colorectal Cancer Screening Participation: Comparisons With Mammography and Prostate-Specific Antigen Screening American Journal of Public Health. ,vol. 91, pp. 1264- 1272 ,(2001) , 10.2105/AJPH.91.8.1264
Gretchen A Brenes, Electra D Paskett, Predictors of Stage of Adoption for Colorectal Cancer Screening Preventive Medicine. ,vol. 31, pp. 410- 416 ,(2000) , 10.1006/PMED.2000.0729
Jane F. Desforges, David F. Ransohoff, Christopher A. Lang, Screening for Colorectal Cancer New England Journal of Medicine. ,vol. 325, pp. 37- 41 ,(1991) , 10.1056/NEJM199107043250107
Jane G Zapka, Elaine Puleo, Maureen Vickers-Lahti, Roger Luckmann, Healthcare system factors and colorectal cancer screening. American Journal of Preventive Medicine. ,vol. 23, pp. 28- 35 ,(2002) , 10.1016/S0749-3797(02)00444-0
SJ Winawer, RH Fletcher, L Miller, F Godlee, MH Stolar, CD Mulrow, SH Woolf, SN Glick, TG Ganiats, JH Bond, L Rosen, JG Zapka, SJ Olsen, FM Giardiello, JE Sisk, R Van Antwerp, C Brown-Davis, DA Marciniak, RJ Mayer, Colorectal cancer screening: Clinical guidelines and rationale Gastroenterology. ,vol. 113, pp. 1422- 1423 ,(1997) , 10.1053/GAST.1997.V112.AGAST970594
Stephenie C. Lemon, Jane G. Zapka, Barbara Estabrook, Stephen Erban, Roger Luckmann, Screening for colorectal cancer on the front line The American Journal of Gastroenterology. ,vol. 98, pp. 915- 923 ,(2003) , 10.1111/J.1572-0241.2003.07360.X