Prakash Ramdass1, Paul Petraro2, Christina Via3, Armin Shahrokni4, Haq Nawaz5. 1. Thornbury Medical Care, Assistant Professor, American University of Barbados, School of Medicine, St. Michael, Barbados. 2. Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA. ppetraro@griffinhealth.org. 3. Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA. 4. UCLA, California, USA. 5. Director Preventive Medicine Residency Program, Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA.
Abstract
OBJECTIVES: To examine predictors of provider recommendations for colorectal cancer (CRC). METHODS: We examined proportions of patients without prior screening for colonoscopy and their willingness to get a colonoscopy if recommended by a healthcare provider. RESULTS: The rate of CRC screening with a colonoscopy within the recommended guidelines was 35%; provider recommendation rate for colonoscopy screening was 34.9%; and never-screened patients would receive a colonoscopy 78% when recommended by a provider. Provider recommendation was the best predictor for receiving a screening colonoscopy (OR 4.19; 95% CI, 1.91-9.22, p < .01). CONCLUSIONS: Physician recommendation for colonoscopy is the most effective strategy to promote screening colonoscopy in the US, but only one third of eligible patients recall such counseling.
OBJECTIVES: To examine predictors of provider recommendations for colorectal cancer (CRC). METHODS: We examined proportions of patients without prior screening for colonoscopy and their willingness to get a colonoscopy if recommended by a healthcare provider. RESULTS: The rate of CRC screening with a colonoscopy within the recommended guidelines was 35%; provider recommendation rate for colonoscopy screening was 34.9%; and never-screened patients would receive a colonoscopy 78% when recommended by a provider. Provider recommendation was the best predictor for receiving a screening colonoscopy (OR 4.19; 95% CI, 1.91-9.22, p < .01). CONCLUSIONS: Physician recommendation for colonoscopy is the most effective strategy to promote screening colonoscopy in the US, but only one third of eligible patients recall such counseling.
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