The Newfoundland and Labrador colorectal cancer screening program for the average risk population: A pre-implementation study of the family physician and target population perspective on fecal occult blood testing.

摘要: Background Newfoundland and Labrador (NL) has the highest incidence mortality rates of colorectal cancer (CRC) in North America. In March 2010, funding was announced for a fecal occult blood test (FOBT) screening program those aged 50 – 74 years at average risk CRC. The main goal this is to reduce from CRC through detection pre-cancerous polyps or early-stage cancer. Research undertaken prior implementation survey population regarding their intention participate ascertain family physicians’ knowledge guidelines, current practices level support an organized program. Methods Average individuals living three different areas province were surveyed (n = 959): rural area with familial cluster high genetic CRC, urban without clusters It hypothesized that presence would be most likely report positive screening. further between two any clustering respondents more screen. The intent physician 274) enhance understanding FOBT program. posited majority physicians supportive but not necessarily patients according recommended guidelines. Results No significant association found screen a) (p 0.17), b) residing versus region 0.30). multivariate analysis, awareness [OR 1.92, 95% CI 1.32 2.77, p 0.001] use 1.87, 1.18 2.97, 0.008] predictors intention. Almost all indicated 256, 94.8%). Despite this, colonoscopy commonly procedure patients. Most compliant guideline- age start screening, 228, 83.5%), fewer stopping 66, 25%). Conclusions Presence did appear positively impact individuals. Based on previous research, higher than expected reported across regions sampled. Similarly, it unanticipated almost Follow-up post-implementation program, will provide opportunity determine whether translate into participation referral