|Vierender K. Sharma, Rejeev Vasudeva, and Colin W. Howden|
|Abramson Cancer Center of the University of Pennsylvania|
| Last Modified: November 1, 2001
Reviewers: Li Liu, MD
Précis: Colorectal cancer screening by many primary physicians may not be adequate
IntroductionThe American Cancer Society and the American Gastroenterological Association, as well as other groups, have all recommended screening for colorectal cancer. Standard recommendations include annual testing for fecal occult blood and periodic sigmoidoscopy/colonoscopy after the age of 50 years for persons at average risk for colorectal cancer. However, how well these recommendations have been carried out in the community by primary care physicians is unclear.
MethodIn this study, the researchers mailed a questionnaire to 2,310 primary care physicians throughout the US. Among other items, the questionnaire asked whether physicians would offer colorectal cancer screening to 6 hypothetical patients.
ResultsA total of 417 physicians (19.5%) responded.
DiscussionIn this study, screening practices for colorectal cancer among primary care physicians varied widely from recommended guidelines. Aversion to the nature of the problem, the procedures used for screening, screening costs, and required referral patterns have presented major barriers to compliance with the recommendations. Immediate remediation is needed to teach primary care physicians about colorectal cancer screening, including how to identify appropriate candidates.