Advertisement

Colorectal Cancer Screening: Letting Patients Choose the Strategy Might Increase Adherence — Physician’s First Watch

Medical News |
April 10, 2012

Colorectal Cancer Screening: Letting Patients Choose the Strategy Might Increase Adherence

Patients are more likely to undergo colorectal cancer screening when their primary care clinicians either recommend fecal occult blood testing or offer a choice between FOBT and colonoscopy, according to an Archives of Internal Medicine study.

Primary care clinicians serving an ethnically and racially diverse population were randomized to recommend screening by colonoscopy, FOBT, or a choice of the two. Nearly 1000 average-risk patients were included.

The primary outcome — completion of screening within 12 months — occurred significantly more often when patients were recommended FOBT (67%) or given a choice of FOBT or colonoscopy (69%) than when they were recommended only colonoscopy (38%). Nonwhites were more likely to undergo FOBT than were whites, while whites were more likely to undergo colonoscopy than nonwhites.

The authors conclude that "the common practice of universally recommending colonoscopy" may lower screening adherence. A commentator adds that giving patients a choice other than colonoscopy is "necessary."

Reader Comments (1)

Robert f Odell

It may be a useful strategy to inform non-white patients that white patients more often choose colonoscopy because it is thought to be the best and most effective test in preventing death from colon cancer. Why settle for less than the best?

Competing interests: None declared

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.

Advertisement
Advertisement
Advertisement