Colorectal Cancer Screening Practices in Alabama: A Survey of Primary Care Physicians
- 184 Downloads
In order to inform efforts to increase screening rates for colorectal cancer (CRC), we conducted a survey of Alabama primary care physicians regarding CRC screening practices, educational preferences, and perceptions of obstacles to screening. A mail survey of 2,378 Alabama physicians in Family Medicine, Internal Medicine, and Obstetrics & Gynecology was conducted. Many physicians are not fully up-to-date with current CRC screening practices that could improve patient compliance with screening guidelines. One example is the potential use of high-sensitivity stool tests, such as the fecal immunochemical test, instead of the no longer recommended low-sensitivity guaiac fecal occult blood tests. In addition, enhanced multimedia and web-based approaches to educating physicians and patients could be more fully utilized. Further, greater use of health information technologies could increase screening rates. Enhancing primary care physicians' knowledge of screening modalities and increasing their use of electronic technology could significantly improve colorectal cancer screening outcomes.
KeywordsColorectal cancer Fecal immunochemical test Alabama Low- and high-sensitivity guaiac fecal occult blood tests
This journal article was supported by the Centers for Disease Control and Prevention Cooperative agreement number U58/DP002055. Its contents are solely the responsibility of the authors and do not necessarily reflect the official views of the CDC.
Conflicts of Interest
None of the authors of this article has any financial conflict of interest relevant to the project or any other conflicts that would require disclosure.
- 1.American Cancer Society (2012) Cancer facts & figures 2012. American Cancer Society, AtlantaGoogle Scholar
- 2.American Cancer Society (2011) Colorectal cancer facts & figures 2011-2013. American Cancer Society, AtlantaGoogle Scholar
- 3.American Cancer Society (2011) Cancer prevention & early detection facts & figures 2011. American Cancer Society, AtlantaGoogle Scholar
- 12.United States Preventive Services Task Force, October (2008) Screening for colorectal cancer: clinical summary of U.S. preventive services task force recommendation. AHRQ Publication No. 08-05124-EF-4, http://www.uspreventiveservicestaskforce.org/ uspstf08/colocancer/colosum.htm. Accessed December 10, 2011
- 13.Marinopoulos SS, Dorman T, Ratanawongsa N, Wilson LM, Ashar BH, Magaziner JL et al (2007) Effectiveness of continuing medical education. Evidence report/technology assessment, No. 149, AHRQ Publication No. 07-E006. Agency for Healthcare Research and Quality, RockvilleGoogle Scholar