Featured Research

from universities, journals, and other organizations

Not all doctors follow cancer screening guidelines, study finds

Date:
October 15, 2010
Source:
Springer
Summary:
Only one-fifth of primary care physicians in the US follow practice guidelines for colorectal cancer screening for all the tests they recommend, according a new study. 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.

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 analysis 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. (Screening options include: fecal occult blood testing, flexible sigmoidoscopy, colonoscopy, and double contrast barium enema.) 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."


Story Source:

The above story is based on materials provided by Springer. Note: Materials may be edited for content and length.


Journal Reference:

  1. K. Robin Yabroff, Carrie N. Klabunde, Gigi Yuan, Timothy S. McNeel, Martin L. Brown, Dana Casciotti, Dennis W. Buckman, Stephen Taplin. Are Physicians’ Recommendations For Colorectal Cancer Screening Guideline-Consistent? Journal of General Internal Medicine, 2010; DOI: 10.1007/s11606-010-1516-5

Cite This Page:

Springer. "Not all doctors follow cancer screening guidelines, study finds." ScienceDaily. ScienceDaily, 15 October 2010. <www.sciencedaily.com/releases/2010/10/101014113839.htm>.
Springer. (2010, October 15). Not all doctors follow cancer screening guidelines, study finds. ScienceDaily. Retrieved July 24, 2014 from www.sciencedaily.com/releases/2010/10/101014113839.htm
Springer. "Not all doctors follow cancer screening guidelines, study finds." ScienceDaily. www.sciencedaily.com/releases/2010/10/101014113839.htm (accessed July 24, 2014).

Share This




More Health & Medicine News

Thursday, July 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
China's Ageing Millions Look Forward to Bleak Future

China's Ageing Millions Look Forward to Bleak Future

AFP (July 24, 2014) China's elderly population is expanding so quickly that children struggle to look after them, pushing them to do something unexpected in Chinese society- move their parents into a nursing home. Duration: 02:07 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins