Factors associated with practice of colorectal cancer screening among primary care physicians in a Chinese population: A cross-sectional study
Autor: | Donald K T Li, Martin C.S. Wong, Sian M. Griffiths, Augustine Lam, Joseph Lau, Joseph J.Y. Sung |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Referral Attitude of Health Personnel Epidemiology Cross-sectional study Colonoscopy Sex Factors Surveys and Questionnaires Health care medicine Humans Mass Screening Practice Patterns Physicians' Family history Referral and Consultation Aged Primary Health Care medicine.diagnostic_test business.industry Fecal occult blood Physicians Family Odds ratio Middle Aged digestive system diseases Cross-Sectional Studies Logistic Models Oncology Private practice Occult Blood Family medicine Hong Kong Female Colorectal Neoplasms business |
Zdroj: | Cancer Epidemiology. 33:201-206 |
ISSN: | 1877-7821 |
Popis: | Objectives : Primary care physicians (PCPs) are influential in colorectal cancer (CRC) screening uptake in the community. This study aims to evaluate the factors associated with PCPs' practice of CRC screening among asymptomatic patients in a Chinese population. Methods : A validated postal questionnaire was sent to all practicing PCPs who were members of a community-based network in Hong Kong. Three separate rounds of reminder letters were sent to non-respondents. Binary logistic regression analysis was used with ever-referral for CRC screening in the past 12 months as the outcome variable. Predictor variables include physicians' gender, clinical experience, types of practice, and attitudes towards CRC screening. Results : Of 428 eligible physicians, 263 (61.4%) responded. A total of 187 physicians (71.1%) had referred patients for CRC screening in the past 1 year. Among all asymptomatic patients aged 50 years or older, physicians reported referring only 3.0% (1.0–10.0%) [median (interquartile range)] of patients. Colonoscopy (57.0%) and fecal occult blood testing (FOBT) (46.4%) were the most commonly recommended tests for these asymptomatic patients. Family history of CRC (58.6%) and patients' concern about CRC (50.2%) were major reasons for referral. PCPs in private practice (adjusted odds ratio [aOR] 2.60, 95% C.I. 1.21–5.59) and those with positive attitude towards CRC screening (aOR 2.27, 95% C.I. 1.15–4.48) were more likely to recommend CRC screening. Conclusions : PCPs' attitude towards CRC screening is a significant determinant of its practice. Future studies should identify and strengthen the influencers of PCPs' attitude to enhance CRC screening rates. |
Databáze: | OpenAIRE |
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