What are the patient and physician determinants of colorectal cancer screening in Switzerland?
Details
Under indefinite embargo.UNIL restricted access
State: Public
Version: After imprimatur
License: Not specified
Serval ID
serval:BIB_673029E70150
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
What are the patient and physician determinants of colorectal cancer screening in Switzerland?
Director(s)
COHIDON C.
Codirector(s)
SELBY K.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2020
Language
english
Number of pages
16
Abstract
Background
The colorectal cancer (CRC) is ranked third among the most common cancers in Switzerland1 and the third cancer causing the highest death rate in the world2. Early detection and treatment of CRC is associated with better prognosis and a reduction in cancer-related deaths.3
In Switzerland, two different screening tests are reimbursed by the health insurance: the colonoscopy and the FIT. These can be proposed to individuals aged between 51 and 75 years old by their general practician (GP).
This study’s objective is to analyse predictive factors, patients and GPs, of screening test among the persons screened in Switzerland.
Methods
This study is based on data collected via a survey conducted by the Policlinique Médicale Universitaire (PMU), now Unisanté, of Lausanne between August 2015 and May 2016. This survey aimed to overview the prevention in family medicine in Switzerland.
A sample of 152 GP and 1103 of their patients participated in this survey. Eligible patients were filtered by their age and whether they had been screened for CRC in the previous year.
Statistical analyses were then performed on the statistical software STATA.
Results/Discussion
On the patient’s side, education (OR= 0.16 [0.04-0.62]), information about cancer (OR = 0.29 [0.11- 0.80]) and perceived health (OR=0.98 [0.96-1.00]) are positively associated with FOBT. On the contrary, up to date vaccination (OR=3.54 [1.28-9.74]) is linked with less chance to undergo FOBT.
On the GPs side, the time spent in post-graduate formation (OR=4.27 [1.05-17.41]) was associated with less probability to undergo FOBT, whereas faecal blood test (FOBT) at the practice (OR=7.70 [1.85- 32.15]) was correlated with FOBT.
Conclusion
This study demonstrates that FOBT and colonoscopy are influenced by patient-specific and on physician-specific variables.
Awareness of the GP and knowledge of the patient are significantly associated to the screening test. GPs should be careful to the patient’s level of knowledge and add relevant information for them. To that end, good knowledge of guidelines and medical advances are required.
The colorectal cancer (CRC) is ranked third among the most common cancers in Switzerland1 and the third cancer causing the highest death rate in the world2. Early detection and treatment of CRC is associated with better prognosis and a reduction in cancer-related deaths.3
In Switzerland, two different screening tests are reimbursed by the health insurance: the colonoscopy and the FIT. These can be proposed to individuals aged between 51 and 75 years old by their general practician (GP).
This study’s objective is to analyse predictive factors, patients and GPs, of screening test among the persons screened in Switzerland.
Methods
This study is based on data collected via a survey conducted by the Policlinique Médicale Universitaire (PMU), now Unisanté, of Lausanne between August 2015 and May 2016. This survey aimed to overview the prevention in family medicine in Switzerland.
A sample of 152 GP and 1103 of their patients participated in this survey. Eligible patients were filtered by their age and whether they had been screened for CRC in the previous year.
Statistical analyses were then performed on the statistical software STATA.
Results/Discussion
On the patient’s side, education (OR= 0.16 [0.04-0.62]), information about cancer (OR = 0.29 [0.11- 0.80]) and perceived health (OR=0.98 [0.96-1.00]) are positively associated with FOBT. On the contrary, up to date vaccination (OR=3.54 [1.28-9.74]) is linked with less chance to undergo FOBT.
On the GPs side, the time spent in post-graduate formation (OR=4.27 [1.05-17.41]) was associated with less probability to undergo FOBT, whereas faecal blood test (FOBT) at the practice (OR=7.70 [1.85- 32.15]) was correlated with FOBT.
Conclusion
This study demonstrates that FOBT and colonoscopy are influenced by patient-specific and on physician-specific variables.
Awareness of the GP and knowledge of the patient are significantly associated to the screening test. GPs should be careful to the patient’s level of knowledge and add relevant information for them. To that end, good knowledge of guidelines and medical advances are required.
Keywords
Colorectal cancer, screening, FOBT, colonoscopy, Switzerland
Create date
07/09/2021 15:04
Last modification date
13/01/2023 7:47
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