Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.

We conducted a survey of primary care clinicians and gastroenterologists (n = 938) between 11/06/19–12/06/19 to assess knowledge and attitudes regarding colorectal cancer screening. We assessed clinicians’ attitudes toward lowering the colorectal cancer screening initiation age to 45 years, a topic...

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Main Authors: Lila J. Finney Rutten PhD, MPH, Philip Parks MD, MPH, Emily Weiser MPH, Xuan Zhu PhD, Joan M. Griffin PhD, Paul J. Limburg MD, MPH
Format: Article
Language:English
Published: SAGE Publishing 2020-12-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/1073274820977112
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author Lila J. Finney Rutten PhD, MPH
Philip Parks MD, MPH
Emily Weiser MPH
Xuan Zhu PhD
Joan M. Griffin PhD
Paul J. Limburg MD, MPH
author_facet Lila J. Finney Rutten PhD, MPH
Philip Parks MD, MPH
Emily Weiser MPH
Xuan Zhu PhD
Joan M. Griffin PhD
Paul J. Limburg MD, MPH
author_sort Lila J. Finney Rutten PhD, MPH
collection DOAJ
description We conducted a survey of primary care clinicians and gastroenterologists (n = 938) between 11/06/19–12/06/19 to assess knowledge and attitudes regarding colorectal cancer screening. We assessed clinicians’ attitudes toward lowering the colorectal cancer screening initiation age to 45 years, a topic of current debate. We also evaluated provider and practice characteristics associated with agreement. Only 38.1% of primary care clinicians endorsed colorectal cancer screening initiation at age 45 years, compared to 75.5% of gastroenterologists (p < .0001). Gastroenterologists were over 5 times more likely than primary care clinicians to endorse lowering the screening initiation age (OR = 5.30, 3.54-7.93). Other factors found to be independently associated with agreement with colorectal cancer screening initiation at age 45 years included seeing more than 25 patients per day (vs. fewer) and suburban (vs. urban) location. Results emphasize the need for collaboration between primary care clinicians and gastroenterologists to ensure that patients receive consistent messaging and evidence-based care.
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spelling doaj.art-8746da8359034d14ae045e7a3dd569bb2023-07-26T06:35:19ZengSAGE PublishingCancer Control1073-27482020-12-012710.1177/1073274820977112Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.Lila J. Finney Rutten PhD, MPH0Philip Parks MD, MPH1Emily Weiser MPH2Xuan Zhu PhD3Joan M. Griffin PhD4Paul J. Limburg MD, MPH5 Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA Exact Sciences Corporation, Madison, WI, USA Exact Sciences Corporation, Madison, WI, USA Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USAWe conducted a survey of primary care clinicians and gastroenterologists (n = 938) between 11/06/19–12/06/19 to assess knowledge and attitudes regarding colorectal cancer screening. We assessed clinicians’ attitudes toward lowering the colorectal cancer screening initiation age to 45 years, a topic of current debate. We also evaluated provider and practice characteristics associated with agreement. Only 38.1% of primary care clinicians endorsed colorectal cancer screening initiation at age 45 years, compared to 75.5% of gastroenterologists (p < .0001). Gastroenterologists were over 5 times more likely than primary care clinicians to endorse lowering the screening initiation age (OR = 5.30, 3.54-7.93). Other factors found to be independently associated with agreement with colorectal cancer screening initiation at age 45 years included seeing more than 25 patients per day (vs. fewer) and suburban (vs. urban) location. Results emphasize the need for collaboration between primary care clinicians and gastroenterologists to ensure that patients receive consistent messaging and evidence-based care.https://doi.org/10.1177/1073274820977112
spellingShingle Lila J. Finney Rutten PhD, MPH
Philip Parks MD, MPH
Emily Weiser MPH
Xuan Zhu PhD
Joan M. Griffin PhD
Paul J. Limburg MD, MPH
Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.
Cancer Control
title Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.
title_full Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.
title_fullStr Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.
title_full_unstemmed Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.
title_short Healthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S.
title_sort healthcare provider perspectives on lowering colorectal cancer screening initiation age to 45 years results from a survey of clinicians in the u s
url https://doi.org/10.1177/1073274820977112
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