Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland

Details

Serval ID
serval:BIB_6A444F0EA592
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland
Journal
International Journal of Public Health
Author(s)
Braun Alexander Leonhard, Prati Emanuele, Martin Yonas, Dvořák Charles, Tal Kali, Biller-Andorno Nikola, Bulliard Jean-Luc, Cornuz Jacques, Selby Kevin, Auer Reto
ISSN
1661-8564 (Electronic)
ISSN-L
1661-8556
Publication state
Published
Issued date
09/2019
Peer-reviewed
Oui
Volume
64
Number
7
Pages
1075-1083
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To determine the proportion of 50-75-year-old patients who visit a primary care physician's (PCP) office and were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood testing (FOBT) within 2 years. To describe the variation in care between PCPs and factors associated with these proportions.
Cross-sectional data collected between April and December 2017.
PCPs reporting for the Swiss Sentinel Surveillance Network. Each PCP collected demographic data and CRC testing status from 40 consecutive patients.
proportions of patients up to date with CRC screening and method used (colonoscopy/FOBT/Other); variation in the outcome measures between PCPs; association of physician-level factors with main outcomes.
91/129 PCPs collected data from 3451 patients; 45% had been tested for CRC within recommended intervals (41% colonoscopy, 4% FOBT). The proportions of patients tested and testing with colonoscopy versus FOBT varied widely between PCPs. Language region was associated with PCPs' rate of FOBT prescription.
Less than half of patients who visited PCPs in Switzerland were tested for CRC within recommended intervals. PCPs varied widely in their testing practices.
Keywords
Colorectal cancer, Decision making, Practice variation, Primary care, Screening
Pubmed
Web of science
Funding(s)
Swiss National Science Foundation
Create date
27/06/2019 16:56
Last modification date
20/09/2019 6:09
Usage data