Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective
<p>Abstract</p> <p>Background</p> <p>Family history is a common risk factor for colorectal cancer (CRC), yet it is often underused to guide risk assessment and the provision of risk-appropriate CRC screening recommendation. The aim of this study was to identify from a p...
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| Format: | Article |
| Language: | English |
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BMC
2012-03-01
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| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/13/17 |
| _version_ | 1811223527697678336 |
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| author | Courtney Ryan J Paul Christine L Sanson-Fisher Robert W Macrae Finlay A Carey Mariko L Attia John McEvoy Mark |
| author_facet | Courtney Ryan J Paul Christine L Sanson-Fisher Robert W Macrae Finlay A Carey Mariko L Attia John McEvoy Mark |
| author_sort | Courtney Ryan J |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Family history is a common risk factor for colorectal cancer (CRC), yet it is often underused to guide risk assessment and the provision of risk-appropriate CRC screening recommendation. The aim of this study was to identify from a patient perspective health care providers' current practice relating to: (i) assessment of family history of CRC; (ii) notification of "increased risk" to patients at "moderately/potentially high" familial risk; and (iii) recommendation that patients undertake CRC screening.</p> <p>Methods</p> <p>1592 persons aged 56-88 years randomly selected from the Hunter Community Study (HCS), New South Wales, Australia were mailed a questionnaire. 1117 participants (70%) returned a questionnaire.</p> <p>Results</p> <p>Thirty eight percent of respondents reported ever being asked about their family history of CRC. Ever discussing family history of CRC with a health care provider was significantly more likely to occur for persons with a higher level of education, who had ever received screening advice and with a lower physical component summary score. Fifty one percent of persons at "moderately/potentially high risk" were notified of their "increased risk" of developing CRC. Thirty one percent of persons across each level of risk had ever received CRC screening advice from a health care provider. Screening advice provision was significantly more likely to occur for persons who had ever discussed their family history of CRC with a health care provider and who were at "moderately/potentially high risk".</p> <p>Conclusions</p> <p>Effective interventions that integrate both the assessment and notification of familial risk of CRC to the wider population are needed. Systematic and cost-effective mechanisms that facilitate family history collection, risk assessment and provision of screening advice within the primary health care setting are required.</p> |
| first_indexed | 2024-04-12T08:34:12Z |
| format | Article |
| id | doaj.art-8b889f12b81e4d818db75cb8fdd05bd5 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-12T08:34:12Z |
| publishDate | 2012-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-8b889f12b81e4d818db75cb8fdd05bd52022-12-22T03:40:03ZengBMCBMC Family Practice1471-22962012-03-011311710.1186/1471-2296-13-17Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspectiveCourtney Ryan JPaul Christine LSanson-Fisher Robert WMacrae Finlay ACarey Mariko LAttia JohnMcEvoy Mark<p>Abstract</p> <p>Background</p> <p>Family history is a common risk factor for colorectal cancer (CRC), yet it is often underused to guide risk assessment and the provision of risk-appropriate CRC screening recommendation. The aim of this study was to identify from a patient perspective health care providers' current practice relating to: (i) assessment of family history of CRC; (ii) notification of "increased risk" to patients at "moderately/potentially high" familial risk; and (iii) recommendation that patients undertake CRC screening.</p> <p>Methods</p> <p>1592 persons aged 56-88 years randomly selected from the Hunter Community Study (HCS), New South Wales, Australia were mailed a questionnaire. 1117 participants (70%) returned a questionnaire.</p> <p>Results</p> <p>Thirty eight percent of respondents reported ever being asked about their family history of CRC. Ever discussing family history of CRC with a health care provider was significantly more likely to occur for persons with a higher level of education, who had ever received screening advice and with a lower physical component summary score. Fifty one percent of persons at "moderately/potentially high risk" were notified of their "increased risk" of developing CRC. Thirty one percent of persons across each level of risk had ever received CRC screening advice from a health care provider. Screening advice provision was significantly more likely to occur for persons who had ever discussed their family history of CRC with a health care provider and who were at "moderately/potentially high risk".</p> <p>Conclusions</p> <p>Effective interventions that integrate both the assessment and notification of familial risk of CRC to the wider population are needed. Systematic and cost-effective mechanisms that facilitate family history collection, risk assessment and provision of screening advice within the primary health care setting are required.</p>http://www.biomedcentral.com/1471-2296/13/17 |
| spellingShingle | Courtney Ryan J Paul Christine L Sanson-Fisher Robert W Macrae Finlay A Carey Mariko L Attia John McEvoy Mark Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective BMC Family Practice |
| title | Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective |
| title_full | Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective |
| title_fullStr | Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective |
| title_full_unstemmed | Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective |
| title_short | Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective |
| title_sort | colorectal cancer risk assessment and screening recommendation a community survey of healthcare providers practice from a patient perspective |
| url | http://www.biomedcentral.com/1471-2296/13/17 |
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