Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland.

Braun, Alexander Leonhard; Prati, Emanuele; Martin, Yonas Arrefaine; Dvořák, Charles; Tal, Kali; Biller-Andorno, Nikola; Bulliard, Jean-Luc; Cornuz, Jacques; Selby, Kevin; Auer, Reto (2019). Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland. International journal of public health, 64(7), pp. 1075-1083. Springer 10.1007/s00038-019-01259-4

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OBJECTIVES To determine the proportion of 50-75-year-old patients who visit a primary care physician's (PCP) office and were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood testing (FOBT) within 2 years. To describe the variation in care between PCPs and factors associated with these proportions. METHODS Cross-sectional data collected between April and December 2017. PARTICIPANTS PCPs reporting for the Swiss Sentinel Surveillance Network. Each PCP collected demographic data and CRC testing status from 40 consecutive patients. MEASUREMENTS proportions of patients up to date with CRC screening and method used (colonoscopy/FOBT/Other); variation in the outcome measures between PCPs; association of physician-level factors with main outcomes. RESULTS 91/129 PCPs collected data from 3451 patients; 45% had been tested for CRC within recommended intervals (41% colonoscopy, 4% FOBT). The proportions of patients tested and testing with colonoscopy versus FOBT varied widely between PCPs. Language region was associated with PCPs' rate of FOBT prescription. CONCLUSIONS Less than half of patients who visited PCPs in Switzerland were tested for CRC within recommended intervals. PCPs varied widely in their testing practices.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Braun, Alexander Leonhard; Prati, Emanuele Pierluigi; Martin, Yonas Arrefaine; Tal, Kali and Auer, Reto

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1661-8556

Publisher:

Springer

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

27 Jun 2019 10:45

Last Modified:

16 Jun 2020 02:30

Publisher DOI:

10.1007/s00038-019-01259-4

PubMed ID:

31201428

Uncontrolled Keywords:

Colorectal cancer Decision making Practice variation Primary care Screening

BORIS DOI:

10.7892/boris.131598

URI:

https://boris.unibe.ch/id/eprint/131598

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