Article

Predictors of colorectal cancer screening in diverse primary care practices

BMC Health Services Research 01/2006;
Source: DOAJ

ABSTRACT Abstract

Background

To explain why rates of colorectal cancer (CRC) screening including fecal occult blood testing (FOBT), flexible sigmoidoscopy (FS), colonoscopy (CS), and barium enema (BE), are low, this study assessed determinants of CRC screening from medical records.

Methods

Data were abstracted from patients aged ≥64 years selected from each clinician from 30 diverse primary care practices (n = 981). Measurements included the rates of annual FOBT, ever receiving FOBT, ever receiving FS/CS/BE under a combination variable, endoscopy/barium enema (EBE).

Results

Over five years, 8% had received annual FOBT, 53% had ever received FOBT and 22% had ever received EBE. Annual FOBT was negatively associated with female gender, odds ratio (OR) = .23; 95% confidence interval = .12–.44 and positively associated with routinely receiving influenza vaccine, OR = 2.55 (1.45–4.47); and more office visits: 3 to <5 visits/year, OR = 2.78 (1.41–5.51), and ≥5 visits/year, OR = 3.35 (1.52-7.42). Ever receiving EBE was negatively associated with age ≥75 years, OR = .66 (.46–.95); being widowed, OR = .59 (.38–.92); and positively associated with more office visits: 3 to <5 visits/year, OR = 1.83 (1.18–2.82) and ≥5 visits/year, OR = 2.01 (1.14–3.55).

Conclusion

Overall CRC screening rates were low, but were related to the number of primary care office visits. FOBT was related to immunization status, suggesting the possible benefit of linking these preventive services.

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    Article: Capsule colonoscopy increases uptake of colorectal cancer screening.
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    BMC Gastroenterology 06/2012; 12:80. · 2.42 Impact Factor
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Keywords

30 diverse primary care practices
 
<5 visits/year
 
Annual FOBT
 
barium enema
 
colorectal cancer
 
combination variable
 
CRC screening
 
CRC screening rates
 
endoscopy/barium enema
 
fecal occult blood testing
 
female gender
 
flexible sigmoidoscopy
 
immunization status
 
influenza vaccine
 
medical records
 
office visits
 
possible benefit
 
preventive services
 
primary care office visits
 
≥5 visits/year