Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study
Background Screening of colorectal cancer (CRC) can reduce incidence and mortality. First-degree relatives (FDRs) of patients with CRC or advanced adenoma before the age of 65 (index patients) are at increased risk of CRC; however, the guidelines for screening of FDRs by colonoscopy are poorly follo...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | European Journal of General Practice |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/13814788.2022.2089353 |
| _version_ | 1828466605481263104 |
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| author | Isabelle Ingrand Nicolas Palierne Pauline Sarrazin Yvan Desbordes Clara Blanchard Pierre Ingrand |
| author_facet | Isabelle Ingrand Nicolas Palierne Pauline Sarrazin Yvan Desbordes Clara Blanchard Pierre Ingrand |
| author_sort | Isabelle Ingrand |
| collection | DOAJ |
| description | Background Screening of colorectal cancer (CRC) can reduce incidence and mortality. First-degree relatives (FDRs) of patients with CRC or advanced adenoma before the age of 65 (index patients) are at increased risk of CRC; however, the guidelines for screening of FDRs by colonoscopy are poorly followed.Objectives The present study, conducted in the context of the COLOR3 interventional study project, aimed to explore the positioning of general practitioners (GPs) in familial CRC screening in France.Methods From February 2020 to April 2021, 35 semi-structured interviews with GPs of index patients and/or their FDRs were conducted by telephone. The full-data transcribed corpus was subjected to horizontal thematic analysis.Results Knowledge and compliance with the guidelines vary greatly between GPs. Although initiating the diagnostic process, GPs do not consider themselves as actors in the flow of information concerning familial risk. Their accompaniment of index patients in this role varies. GPs should overcome barriers to implementing colonoscopic screening for FDRs. They underline the importance of exploring family history, but they lack the time and doubt the reliability of the information given by FDRs.Conclusion Challenges include circumventing gaps in knowledge, adherence to guidelines and improving family history updates. The GPs interviewed suggested personalised guidelines in specialists' reports to initiate information campaigns raising awareness of familial risk, and to enhance coordination between organised screening and familial screening. |
| first_indexed | 2024-12-11T03:53:17Z |
| format | Article |
| id | doaj.art-986fbd855715477abb0744b8ba90afa4 |
| institution | Directory Open Access Journal |
| issn | 1381-4788 1751-1402 |
| language | English |
| last_indexed | 2024-12-11T03:53:17Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of General Practice |
| spelling | doaj.art-986fbd855715477abb0744b8ba90afa42022-12-22T01:21:51ZengTaylor & Francis GroupEuropean Journal of General Practice1381-47881751-14022022-12-0128118219010.1080/13814788.2022.2089353Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative studyIsabelle Ingrand0Nicolas Palierne1Pauline Sarrazin2Yvan Desbordes3Clara Blanchard4Pierre Ingrand5INSERM CIC 1402, University Hospital of Poitiers, University of Poitiers, Poitiers, FranceGRESCO (EA 3815), University Hospital of Poitiers, University of Poitiers, Poitiers, FranceDepartment of General Medicine, University of Poitiers, Poitiers, FranceDepartment of General Medicine, University of Poitiers, Poitiers, FranceDepartment of General Medicine, University of Poitiers, Poitiers, FranceINSERM CIC 1402, University Hospital of Poitiers, University of Poitiers, Poitiers, FranceBackground Screening of colorectal cancer (CRC) can reduce incidence and mortality. First-degree relatives (FDRs) of patients with CRC or advanced adenoma before the age of 65 (index patients) are at increased risk of CRC; however, the guidelines for screening of FDRs by colonoscopy are poorly followed.Objectives The present study, conducted in the context of the COLOR3 interventional study project, aimed to explore the positioning of general practitioners (GPs) in familial CRC screening in France.Methods From February 2020 to April 2021, 35 semi-structured interviews with GPs of index patients and/or their FDRs were conducted by telephone. The full-data transcribed corpus was subjected to horizontal thematic analysis.Results Knowledge and compliance with the guidelines vary greatly between GPs. Although initiating the diagnostic process, GPs do not consider themselves as actors in the flow of information concerning familial risk. Their accompaniment of index patients in this role varies. GPs should overcome barriers to implementing colonoscopic screening for FDRs. They underline the importance of exploring family history, but they lack the time and doubt the reliability of the information given by FDRs.Conclusion Challenges include circumventing gaps in knowledge, adherence to guidelines and improving family history updates. The GPs interviewed suggested personalised guidelines in specialists' reports to initiate information campaigns raising awareness of familial risk, and to enhance coordination between organised screening and familial screening.https://www.tandfonline.com/doi/10.1080/13814788.2022.2089353General practicepreventionfamily screeningcolorectal cancerqualitative design |
| spellingShingle | Isabelle Ingrand Nicolas Palierne Pauline Sarrazin Yvan Desbordes Clara Blanchard Pierre Ingrand Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study European Journal of General Practice General practice prevention family screening colorectal cancer qualitative design |
| title | Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study |
| title_full | Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study |
| title_fullStr | Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study |
| title_full_unstemmed | Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study |
| title_short | Familial colonoscopic screening: how do French general practitioners deal with patients and their high-risk relatives. A qualitative study |
| title_sort | familial colonoscopic screening how do french general practitioners deal with patients and their high risk relatives a qualitative study |
| topic | General practice prevention family screening colorectal cancer qualitative design |
| url | https://www.tandfonline.com/doi/10.1080/13814788.2022.2089353 |
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