Fecal occult blood testing beliefs and practices of U.S. primary care physicians: Serious deviations from evidence-based recommendations

Journal of General Internal Medicine

Volumn 25, Issue 8, 2010, Pages 833-839

  Nadel, Marion R ^a   Berkowitz, Zahava ^a   Klabunde, Carrie N ^b   Smith, Robert A ^c   Coughlin, Steven S ^a,d   White, Mary C ^a  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b NATIONAL CANCER INSTITUTE   (United States)

^c AMERICAN CANCER SOCIETY   (United States)

^d DEPARTMENT OF VETERANS AFFAIRS   (United States)

Author keywords

cancer screening; colorectal cancer; fecal occult blood test; primary care; quality of care

Indexed keywords

ADULT; ARTICLE; CLINICAL PRACTICE; DIGITAL RECTAL EXAMINATION; EVIDENCE BASED MEDICINE; FECES ANALYSIS; FEMALE; FOLLOW UP; HEALTH SURVEY; HUMAN; HUMAN EXPERIMENT; IMMUNOHISTOCHEMISTRY; MALE; OCCULT BLOOD; PRIMARY MEDICAL CARE; SCREENING TEST; SELF REPORT; UNITED STATES;

ADULT; CLINICAL COMPETENCE; COLORECTAL NEOPLASMS; CONFIDENCE INTERVALS; CROSS-SECTIONAL STUDIES; EVIDENCE-BASED MEDICINE; FEMALE; HEALTH CARE SURVEYS; HUMANS; IMMUNOHISTOCHEMISTRY; MALE; MASS SCREENING; MIDDLE AGED; MULTIVARIATE ANALYSIS; OCCULT BLOOD; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, PRIMARY CARE; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 77954423297     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-010-1328-7     Document Type: Article

References (41)

1. D Eddy 1980 American Cancer Society report on the cancer-related health checkup CA Cancer J Clin 30 193 240 1:STN:280:DyaL3M%2Fit1Cjug%3D%3D 6774802
2. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. 2nd ed. Alexandria, VA: International Medical Publishing; 1996.
3. SJ Winawer RH Fletcher L Miller, et al. 1997 Colorectal cancer screening: clinical guidelines and rationale Gastroenterology 112 594 642 10.1053/gast.1997.v112.agast970594 1:STN:280:DyaK2s7ns1OktA%3D%3D 9024315 (Pubitemid 27078848)
4. T Byers B Levin D Rothenberger GD Dodd RA Smith 1997 American Cancer Society guidelines for screening and surveillance for early detection of colorectal polyps and cancer: update 1997. American Cancer Society Detection and Treatment Advisory Group on Colorectal Cancer CA Cancer J Clin 47 154 60 10.3322/canjclin.47.3.154 1:STN:280:DyaK2s3ps1Ojtg%3D%3D 9152173
5. U.S. Preventive Services Task Force 2002 Screening for colorectal cancer: recommendation and rationale Ann Intern Med 137 129 31
6. RA Smith V Cokkinides AC von Eschenbach, et al. 2002 American Cancer Society guidelines for the early detection of cancer CA Cancer J Clin 52 8 22 10.3322/canjclin.52.1.8 11814067
7. S Winawer R Fletcher D Rex, et al. 2003 Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence Gastroenterology 124 544 60 10.1053/gast.2003.50044 12557158 (Pubitemid 36169269)
8. U.S. Preventive Services Task Force 2008 Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement Ann Intern Med 149 627 37
9. B Levin DA Lieberman B McFarland, et al. 2008 Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology Gastroenterology 134 5 1570 95 10.1053/j.gastro.2008.02.002 1:CAS:528: DC%2BD1cXntVWgs74%3D 18384785 (Pubitemid 351615355)
10. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999-2005 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2009. http://apps.nccd.cdc.gov/uscs/. Accessed February 17, 2010.
11. JA Shapiro LC Seeff TD Thompson MR Nadel CN Klabunde SW Vernon 2008 Colorectal cancer test use from the 2005 National Health Interview Survey Cancer Epidemiol Biomarkers Prev 17 1623 30 10.1158/1055-9965.EPI-07-2838 18628413
12. JS Mandel TR Church JH Bond, et al. 2000 The effect of fecal occult-blood screening on the incidence of colorectal cancer N Engl J Med 343 1603 7 10.1056/NEJM200011303432203 1:STN:280:DC%2BD3M%2FktFSntg%3D%3D 11096167 (Pubitemid 32162983)
13. JS Mandel JH Bond TR Church, et al. 1993 Reducing mortality from colorectal cancer by screening for fecal occult blood N Engl J Med 328 1365 71 10.1056/NEJM199305133281901 1:STN:280:DyaK3s3jtlOhtQ%3D%3D 8474513 (Pubitemid 23131388)
14. JD Hardcastle JO Chamberlain MH Robinson, et al. 1996 Randomised controlled trial of faecal-occult-blood screening for colorectal cancer Lancet 348 1472 7 10.1016/S0140-6736(96)03386-7 1:STN:280:DyaK2s%2FpvVagtg%3D%3D 8942775 (Pubitemid 26400242)
15. O Kronborg C Fenger J Olsen OD Jorgensen O Sondergaard 1996 Randomised study of screening for colorectal cancer with faecal-occult-blood test Lancet 348 1467 71 10.1016/S0140-6736(96)03430-7 1:STN:280:DyaK2s%2FpvVagsQ%3D%3D 8942774 (Pubitemid 26400241)
16. MR Nadel JA Shapiro CN Klabunde, et al. 2005 A national survey of primary care physicians' methods for screening for fecal occult blood Ann Intern Med 142 86 94 15657156
17. JF Collins DA Lieberman TE Durbin DG Weiss Veterans Affairs Cooperative Study #380 Group 2005 Accuracy of screening for fecal occult blood on a single stool sample obtained by digital rectal examination: a comparison with recommended sampling practice Ann Intern Med 142 81 5 15657155
18. HC Sox 2005 Office-based testing for fecal occult blood: do only in case of emergency Ann Intern Med 142 146 8 15657163
19. KA Phillips SY Liang U Ladabaum, et al. 2007 Trends in colonoscopy for colorectal cancer screening Med Care 45 160 7 10.1097/01.mlr.0000246612.35245.21 17224779
20. CN Klabunde D Lanier MR Nadel C McLeod G Yuan SW Vernon 2009 U.S. primary care physicians' colorectal cancer screening recommendations and practices, 2006-2007 Am J Prev Med 37 1 8 16 10.1016/j.amepre.2009.03.008 19442479
21. AC DeBourcy S Lichtenberger S Felton KT Butterfield DJ Ahnen TD Denberg 2007 Community-based preferences for stool cards versus colonoscopy in colorectal cancer screening J Gen Intern Med 23 2 169 74 10.1007/s11606-007- 0480-1 18157581
22. JE Allison LC Sakoda TR Levin, et al. 2007 Screening for colorectal neoplasms with new fecal occult blood tests: update on performance characteristics J Natl Cancer Inst 99 1462 70 10.1093/jnci/djm150 17895475
23. AG Zauber I Lansdorp-Vogelaar AB Knudsen J Wilschut M van Ballegooijen KM Kuntz 2008 Evaluating test strategies for colorectal cancer screening: A decision analysis for the U.S. Preventive Services Task Force Ann Intern Med 149 659 69 18838717
24. R Changes 2006: An Insider's View. Chicago, IL.
25. Korn EL, Graubard BL. Analysis of Health Surveys. Wiley Series in Probability and Statistics. New York: Wiley; 1999:126-39.
26. SAS Institute. SAS/STAT 9.1 User's Guide. Cary (NC): SAS Institute; 2004.
27. Research Triangle Institute. SUDAAN Language Manual, Release 9.0. Research Triangle Park (NC): Research Triangle Institute; 2004.
28. Centers for Medicare and Medicaid Services. Colorectal cancer: Preventable, treatable and beatable - Medicare coverage and billing for colorectal cancer screening. Medicare Learning Network Matters SE0710. Accessed at www.cms.hhs.gov/MLNMattersArticles/downloads/SE0710.pdf. Accessed February 17, 2010.
29. RC Baron BK Rimer RA Breslow, et al. 2008 Client-directed interventions to increase community demand for breast, cervical, and colorectal cancers screening Am J Prev Med 35 1 Suppl S34 55 10.1016/j.amepre.2008.04.002 18541187 (Pubitemid 351787500)
30. Task Force on Community Preventive Services. Cancer prevention & control, provider-oriented screening interventions: provider reminders & recall. http://www.thecommunityguide.org/cancer/screening/provider-oriented/ reminders.html. Accessed February 17, 2010.
31. American College of Obstetricians and Gynecologists 2006 Routine cancer screening. ACOG Committee Opinion No. 356 Obstet Gynecol 108 1611 3
32. EP Whitlock JS Lin E Liles TL Beil R Fu 2008 Screening for colorectal cancer: A targeted, updated systematic review for the U.S. Preventive Services Task Force Ann Intern Med 149 638 58 18838718
33. SR Cole GP Young A Esterman, et al. 2003 A randomized trial of the impact of new faecal haemoglobin test technologies on population participation in screening for colorectal cancer J Med Screen 10 117 22 10.1258/ 096914103769011003 1:STN:280:DC%2BD3svotlGmtw%3D%3D 14561262 (Pubitemid 38296846)
34. B Levin D Brooks RA Smith A Stone 2003 Emerging technologies in screening for colorectal cancer: CT colonography, immunochemical fecal occult blood tests, and stool screening using molecular markers CA Cancer J Clin 53 44 55 10.3322/canjclin.53.1.44 12568443
35. HI Meissner N Breen CN Klabunde SW Vernon 2006 Patterns of colorectal cancer screening uptake among men and women in the United States Cancer Epidemiol Biomarkers Prev 15 389 94 10.1158/1055-9965.EPI-05-0678 16492934 (Pubitemid 43342192)
36. X Chen MC White LA Peipens LC Seeff 2008 Increase in screening for colorectal cancer in older Americans: results from a national survey J Am Geriatr Soc 56 1511 6 10.1111/j.1532-5415.2008.01796.x 18662217
37. M Jimbo RE Myers B Meyer, et al. 2009 Reasons patients with a positive fecal occult blood test result do not undergo complete diagnostic evaluation Ann Fam Med 7 11 6 10.1370/afm.906 19139444
38. SK Rao TF Schilling TD Sequist 2009 Challenges in the management of positive fecal occult blood tests J Gen Intern Med 24 3 356 60 10.1007/s11606-008-0893-5 19130147
39. SJ Winawer AG Zauber RH Fletcher, et al. 2006 Guidelines for colonoscopy surveillance after polypectomy: A consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society CA Cancer J Clin 56 143 59 10.3322/canjclin.56.3.143 16737947
40. D Lieberman M Nadel RA Smith, et al. 2007 Standardized colonoscopy reporting and data system; report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable Gastrointest Endosc 6 757 66 10.1016/j.gie.2006.12.055 (Pubitemid 46629071)
41. R Rossi JA Sosa HR Aslanian 2008 Screening colonoscopy and fecal occult blood testing practice patterns: A population-based survey of gastroenterologists J Clin Gastroenterol 42 1089 94 10.1097/MCG.0b013e3181599bfc 18936643