Cross-sectional survey study of primary care clinics on evidence-based colorectal cancer screening intervention use.

Cross-sectional survey study of primary care clinics on evidence-based colorectal cancer screening intervention use.
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DOI:
10.1111/jrh.12631
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发表时间:
2022-09
影响因子:
4.9
通讯作者:
Napit, Krishtee
Napit, Krishtee
中科院分区:
医学3区
文献类型:
--
作者:
Watanabe-Galloway, Shinobu;Kim, Jungyoon;LaCrete, Frantzlee;Samson, Kaeli;Foster, Jason;Farazi, Paraskevi A.;LeVan, Tricia;Napit, Krishtee

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The purpose of the study was to examine differences between urban and rural primary care clinics in the use of colorectal cancer (CRC) screening methods and evidence-based interventions to promote colorectal cancer screening. This was a cross-sectional survey of primary care clinics in Nebraska. Surveys in paper form were sent out and followed up with telephone interviews to non-respondents. Of the 375 facilities, 263 (70.1%) responded to the survey. Over 30% of urban clinics indicated that 80% or more of their patients were meeting the CRC guidelines compared to 18.3% of rural clinics (P = .03). Rural clinics were more likely than urban clinics to prefer the use of colonoscopy alone or in combination with stool tests (P = .02). The most common interventions for CRC screening included one-on-one patient education and use of computer-based pop-ups to remind providers. In conclusion, we found some important differences between rural and urban primary care clinics in the implementation of CRC screening. Given there is evidence for differences in preference for CRC screening methods (colonoscopy vs. stool-based tests) between rural and urban community members, it is important to assess the effectiveness of different types of CRC screening interventions by comparing rural and urban primary care clinic patient populations.
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