Navigation Links
Not all doctors follow cancer screening guidelines

Only one-fifth of primary care physicians in the US follow practice guidelines for colorectal cancer screening for all the tests they recommend, according to Dr. Robin Yabroff from the National Cancer Institute and her colleagues. About 40 percent followed guidelines for some of the tests they recommended and the remaining 40 percent did not follow guidelines for any of the screening tests they recommended. Furthermore, their analysis1 of physician screening recommendations for colorectal cancer shows that many clinicians either overuse or underuse screening. Their findings appear online in the Journal of General Internal Medicine, published by Springer.

The theory goes that having multiple options for screening allows physicians and patients to consider the risks, benefits and other attributes of colorectal cancer screening tests* to identify the option best suited to the patient. In reality, however, many adults in the US do not receive appropriate colorectal cancer screening.

To learn about colorectal cancer screening practice in the US, the authors surveyed 1,266 physicians who took part in a national survey conducted by the National Cancer Institute.

Although most physicians made guideline-consistent recommendations for initiating screening in average risk patients at age 50 and for screening intervals for individual tests, few (19 percent) made guideline-consistent recommendations for both screening initiation and screening intervals across all screening tests that they recommended. Those whose recommendations were guideline consistent tended to be younger and board certified. They were also more likely to use electronic medical records, take patients' screening preferences into account and be influenced by published clinical evidence.

Colonoscopy was the modality for which the highest proportion of physicians recommended screening more frequently than guidelines specify. It is also the most expensive colorectal screening method and the most commonly recommended. Overuse of screening may result in unnecessary follow-up testing for patients and increased risk of screening complications.

Some physicians recommended initiating screening in patients older than age 50 or at longer intervals than specified in the guidelines. Underuse of screening results in fewer earlier stage or pre-invasive cancers being detected.

Dr. Yabroff concludes: "Efforts to improve colorectal cancer screening practice should focus on factors that influence both overuse and underuse of screening and consider all recommended colorectal cancer screening modalities."


Contact: Joan Robinson

Related medicine news :

1. Doctors Health, Well-Being Affect Patient Counseling
2. Doctors need to help patients prepare better for health decisions
3. Study: Doctors overprescribe antibiotics for respiratory infections
4. Doctors Religious Beliefs Can Color Their Care of Terminally Ill
5. When Doctors Admit Mistakes, Fewer Malpractice Suits Result, Study Says
6. Primary care doctors get little information about chronic sinusitis
7. Doctors hard to find for patients in Massachusetts first for-profit health plan
8. Foreign-Trained Doctors As Good As U.S.-Trained Counterparts
9. Doctors, Patients Rarely on Same Page
10. Doctors dont get their patients
11. Doctors and Medical Groups Increasingly Embrace Physician Marketing to Counter Changes in Health Care
Post Your Comments:
(Date:12/1/2015)... TX (PRWEB) , ... December 01, 2015 , ... Dr. ... of Vitenas Cosmetic Surgery, has been named by MedEsthetics magazine as the Best Single ... of the best among the many elite aesthetic physicians honored by the industry publication. ...
(Date:12/1/2015)... ... December 01, 2015 , ... ... have seen vast improvements in scientific research and discoveries, leading us to better ... hope and relief to those affected by HIV/AIDS. Mediaplanet’s cross-platform edition of “World ...
(Date:12/1/2015)... ... December 01, 2015 , ... Diabetic foot ... States. Podiatrists are well aware that psychology-based patient non-compliance (disobedience of a health ... contributors to diseases of the diabetic foot. The American Board of Multiple ...
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... ... , Visage Imaging Inc. (“Visage”), a wholly owned subsidiary of Pro Medicus Ltd. ... results enhancements at the Radiological Society of North America (RSNA) 2015 annual meeting ...
(Date:12/1/2015)... ... ... Lutronic, a leading innovator of aesthetic and medical laser and energy-based technology, announced ... the United States. Clarity is a Superior Dual Wavelength Platform which combines two ... platform that is easy to own and operate. , For over a decade, ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... Ohio , Dec. 1, 2015 ... to its GeneSight® Psychotropic test giving healthcare providers an ... medication decisions for patients suffering from depression, anxiety, ... other behavioral health conditions. i ... --> With the addition of two ...
(Date:12/1/2015)... 2015 --> ... "Nucleic Acid Labeling Market by Product (Reagents & Kits, ... In Vitro Transcription, Reverse Transcription, End Labeling), by Region ... global market is expected to reach USD 1,925.7 Million ... at a CAGR of 8.65%. Browse 77 ...
(Date:12/1/2015)... , Dec. 01, 2015 ... the "Veterinary Equipment and Disposables Market by ... report to their offering. --> ... "Veterinary Equipment and Disposables Market by product, ... report to their offering. --> Research ...
Breaking Medicine Technology: