Family history and colorectal cancer screening: A survey of physician knowledge and practice patterns
Family history and colorectal cancer screening: A survey of physician knowledge and practice patterns
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DOI：
10.1111/j.1572-0241.2002.05624.x
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发表时间：
2002-04-01
影响因子：
9.8
通讯作者：
Geller, AC
中科院分区：
文献类型：
--
作者：
Schroy, PC;Barrison, AF;Geller, AC
目的：危险分层是有效实施结直肠癌（CRC）筛查策略的必要条件。本研究的目的是评估和比较目前的知识和实践模式的胃肠病学家和初级保健医生关于家族性风险的CRC.Methods：我们进行了一项调查，区域胃肠病学家和样本的yniversity和社区为基础的初级保健医生。该调查工具评估了医生对有CRC家族史的个人的筛查建议和当前实践的知识。腺瘤性息肉（AP）、家族性腺瘤性息肉病（FAP）和遗传性非息肉病性癌症（HNPCC）。该工具还收集了有关家庭风险评估的数据。结果：35名胃肠病学家（65%）和58名初级保健医生（92%）完成了调查。大多数胃肠病学家和初级保健医生（85%对72%）选择40岁作为开始筛查CRC家族史的适当年龄，但相对较少（37%对36%）推荐在40岁筛查AP家族史。胃肠病学家更倾向于建议在青春期筛查FAP（80%比27%，p
Objectives: Risk stratification is essential to effective implementation of colorectal cancer (CRC) screening strategies. The objectives of this study were to assess and compare the current knowledge and practice patterns of gastroenterologists and primary care physicians regarding familial risk of CRC.Methods: We conducted a survey of regional gastroenterologists and a sample Of yniversity- and community-based primary care physicians. The survey instrument assessed physician knowledge of screening recommendations and current practices for individuals with family histories of CRC., adenomatous polyps (APs), familial adenomatous polyposis (FAP), and hereditary nonpolyposis cancer (HNPCC). The instrument also elicited data about familial risk assessment. documentation, and notification of at-risk family members.Results: Thirty-five gastroenterologists (65%) and 58 primary care physicians (92%) completed the survey. Most gastroenterologists and primary care physicians (85% vs 72%) chose age 40 as the appropriate age to begin screening for a family history of CRC, but relatively few (37% vs 36%) recommended screening at age 40 for a family history of APs. Gastroenterologists were significantly more likely to recommend screening for FAP at puberty (80% vs 27%, p