0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

A National Survey of Primary Care Physicians' Methods for Screening for Fecal Occult Blood

Marion R. Nadel, PhD; Jean A. Shapiro, PhD; Carrie N. Klabunde, PhD; Laura C. Seeff, MD; Robert Uhler, MA; Robert A. Smith, PhD; and David F. Ransohoff, MD
[+] Article and Author Information

From Centers for Disease Control and Prevention and American Cancer Society, Atlanta, Georgia; National Cancer Institute, Bethesda, Maryland; and University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.


Grant Support: By the National Cancer Institute (contract no. N01-PC-85169) and the Centers for Disease Control and Prevention (interagency agreement no. 99FED06571).

Potential Financial Conflicts of Interest: Consultancies: D.F. Ransohoff (EXACT Sciences Corp. until 2002).

Requests for Single Reprints: Marion Nadel, PhD, Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K-55, Atlanta, GA 30341-3717; e-mail, mrn1@cdc.gov.

Current Author Addresses: Drs. Nadel, Shapiro, and Seeff and Mr. Uhler: Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K-55, Atlanta, GA 30341-3717.

Dr. Klabunde: National Cancer Institute, EPN 4005, 6130 Executive Boulevard, Bethesda, MD 20892.

Dr. Smith: American Cancer Society, 1599 Clifton Road, Atlanta, GA 30329-4251.

Dr. Ransohoff: School of Medicine, University of North Carolina at Chapel Hill, CB#7080, Room 326 Burnett-Womack Building, Chapel Hill, NC 27599-7080.

Author Contributions: Conception and design: M.R. Nadel, J.A. Shapiro, C.N. Klabunde, L.C. Seeff, R. Uhler, D.F. Ransohoff.

Analysis and interpretation of the data: M.R. Nadel, J.A. Shapiro, C.N. Klabunde, L.C. Seeff, R. Uhler, D.F. Ransohoff.

Drafting of the article: M.R. Nadel, J.A. Shapiro, R.A. Smith.

Critical revision of the article for important intellectual content: M.R. Nadel, J.A. Shapiro, C.N. Klabunde, L.C. Seeff, R. Uhler, R.A. Smith, D.F. Ransohoff.

Final approval of the article: M.R. Nadel, J.A. Shapiro, C.N. Klabunde, L.C. Seeff, R.A. Smith, D.F. Ransohoff.

Provision of study materials or patients: C.N. Klabunde.

Statistical expertise: M.R. Nadel, R. Uhler.

Obtaining of funding: M.R. Nadel, C.N. Klabunde.

Administrative, technical, or logistic support: M.R. Nadel, C.N. Klabunde.

Collection and assembly of data: C.N. Klabunde, R. Uhler.


Ann Intern Med. 2005;142(2):86-94. doi:10.7326/0003-4819-142-2-200501180-00007
Text Size: A A A

Our study shows that many primary care physicians in the United States do not implement FOBT screening according to major national guidelines (13, 7, 14). Many physicians reported that they used in-office rather than home tests, and many reported using inappropriate tests to follow up abnormal screening results. In an earlier paper from the SCCSP, we reported on the frequent use of in-office tests by specialty (16). In the current paper, we report characteristics of physicians who use in-office tests and report for the first time, to our knowledge, on the tests that physicians say they recommend to follow up positive FOBT results. Because these findings are from a large, nationally representative survey with a high response rate, we believe they reflect the use of FOBT by physicians across the United States. Patients in the 2000 NHIS confirmed these findings by reporting widespread use of in-office tests (22) and repeated FOBTs and infrequent total colon examination after a positive test result.

First Page Preview

View Large
/>
First page PDF preview

Figures

Grahic Jump Location
Figure.
Two-step analysis of follow-up of positive results on fecal occult blood tests (FOBTs).

*Of the 1235 survey respondents, 1120 ordered or performed FOBT at least once per month and responded to the follow-up question (“Which of the following do you usually recommend to a healthy, average-risk patient as an initial follow-up step to a positive FOBT? [check all that apply]: repeat FOBT, flexible sigmoidoscopy, colonoscopy, double-contrast barium enema, other [describe].”).

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Use of Colorectal Cancer Screening by Doctors in Practice

The summary below is from the full report titled “A National Survey of Primary Care Physicians' Methods for Screening for Fecal Occult Blood.” It is in the 18 January 2005 issue of Annals of Internal Medicine (volume 142, pages 86-94). The authors are M.R. Nadel, J.A. Shapiro, C.N. Klabunde, L.C. Seeff, R. Uhler, R.A. Smith, and D.F. Ransohoff.

Read More...

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)