Patients whose physicians recommend colonoscopy and those who follow through

Jeanette M Daly; Yinghui Xu; Barcey T Levy

doi:10.1177/2150131912464887

Back

Patients whose physicians recommend colonoscopy and those who follow through

Journal article

Peer reviewed

Patients whose physicians recommend colonoscopy and those who follow through

Jeanette M Daly, Yinghui Xu and Barcey T Levy

Journal of primary care & community health, Vol.4(2), pp.83-94

04/01/2013

DOI: 10.1177/2150131912464887

PMID: 23799714

View Online

Abstract

More than half of eligible individuals are not up-to-date with colon cancer screening. To assess the characteristics of those who received a colonoscopy screening recommendation and those who followed the physician recommendation. Patient self-administered questionnaire and medical record review in 16 private family physician practices. From 8372 patients invited to participate, 685 were enrolled and had a medical record review; 219 (32%) had a colonoscopy recommendation and 86 (39%) received a colonoscopy. Independent factors associated with having a recommendation for colonoscopy were significantly younger in age (odds ratios [OR] = 1.6), higher incomes (annual income ≥$40 000 vs <$40 000; OR = 1.8), physician or nurse discussion about colon cancer tests (OR = 1.6), physical visit in the preceding 26 months (OR = 1.7), distant relative with colon cancer (OR = 2.4), and a medical diagnosis of hyperlipidemia (OR = 2.1). Independent factors associated with following through on colonoscopy after a recommendation were age ≥65 years (OR = 0.3), male patient (OR = 0.4), and feeling that colon cancer screening is very important (OR = 3.2). Socioeconomic factors are associated with receipt of a colonoscopy recommendation. Fewer than one third of patients had documentation of a physician colonoscopy recommendation and of those, less than half followed through.

Age Distribution

Professional-Patient Relations

Early Detection of Cancer - psychology

Humans

Middle Aged

Family Health

Male

Patient Acceptance of Health Care - psychology

Colorectal Neoplasms - diagnosis

Socioeconomic Factors

Colonoscopy - psychology

Reminder Systems

Family Practice - standards

Female

Surveys and Questionnaires

Early Detection of Cancer - statistics & numerical data

Medical Records

Colorectal Neoplasms - prevention & control

Patient Acceptance of Health Care - statistics & numerical data

Randomized Controlled Trials as Topic

Iowa

Pilot Projects

Colonoscopy - statistics & numerical data

Aged

Family Practice - methods

Details

Title: Subtitle: Patients whose physicians recommend colonoscopy and those who follow through
Creators: Jeanette M Daly - Department of Family Medicine, University of Iowa, Iowa City, IA 52242, USA. jeanette-daly@uiowa.edu
Yinghui Xu
Barcey T Levy
Resource Type: Journal article
Publication Details: Journal of primary care & community health, Vol.4(2), pp.83-94
Publisher: United States
DOI: 10.1177/2150131912464887
PMID: 23799714
ISSN: 2150-1319
eISSN: 2150-1327
Language: English
Date published: 04/01/2013
Academic Unit: Epidemiology; Family and Community Medicine
Record Identifier: 9984024530102771

Metrics

18 Record Views

7 Times Cited - Web of Science