Association between the colorectal cancer screening status of primary care physicians and their patients: Evidence from the Swiss Sentinella practice-based research network.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_E6C4EBA28521
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Association between the colorectal cancer screening status of primary care physicians and their patients: Evidence from the Swiss Sentinella practice-based research network.
Journal
Preventive medicine reports
Author(s)
Scharf T., Hügli C., Martin Y., Tal K., Biller-Andorno N., Dvořák C., Bulliard J.L., Ducros C., Selby K., Auer R.
ISSN
2211-3355 (Print)
ISSN-L
2211-3355
Publication state
Published
Issued date
04/2023
Peer-reviewed
Oui
Volume
32
Pages
102140
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Swiss health insurance reimburses screening for colorectal cancer (CRC) with either colonoscopy or fecal occult blood test (FOBT). Studies have documented the association between a physician's personal preventive health practices and the practices they recommend to their patients. We explored the association between CRC testing status of primary care physicians (PCP) and the testing rate among their patients. From May 2017 to September 2017, we invited 129 PCP who belonged to the Swiss Sentinella Network to disclose their CRC test status and whether they had been tested with colonoscopy or FOBT/other methods. Each participating PCP collected demographic data and CRC testing status from 40 consecutive 50- to 75-year-old patients. We analyzed data from 69 (54%) PCP 50 years or older and 2623 patients. Most PCP were men (81%); 75% were tested for CRC (67% with colonoscopy and 9% with FOBT). Mean patient age was 63; 50% were women; 43% had been tested for CRC (38%, 1000/2623 with colonoscopy and 5%, 131/2623, with FOBT or other non-endoscopic test). In multivariate adjusted regression models that clustered patients by PCP, the proportion of patients tested for CRC was higher among PCP tested for CRC than among PCP not tested (47% vs 32%; OR 1.97; 95% CI 1.36 to 2.85). Since PCP CRC testing status is associated with their patients CRC testing rates, it informs future interventions that will alert PCPs to the influence of their health decisions and motivate them to further incorporate the values and preferences of their patients in their practice.
Keywords
Public Health, Environmental and Occupational Health, Epidemiology, CRC, colorectal cancer, Colonoscopy, Colorectal cancer, FIT, fecal immunochemical test, FOBT, fecal occult blood test, FOPH, Federal Office of Public Health, Fecal occult blood testing, PCP, primary care physicians, Primary health care, Screening, Variation in care
Pubmed
Web of science
Open Access
Yes
Create date
02/03/2023 17:58
Last modification date
16/06/2023 6:56
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