Involvement of general practitioners in mass screening. Experience of a colorectal cancer mass screening programme in the Calvados region (France)

Launoy, Guy; Veret, J.-L.; Richir, B.; Reaud, J.-M.; Ollivier, Véronique; Valla, A; Gignoux, M

doi:10.1097/00008469-199305000-00006

Cited by 41 publications

(21 citation statements)

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“…Although past research identified fear as associated with FOBT use, 36 fear was not a significant predictor of FOBT or colonoscopy use in this study. Operational definitions of fear differed between past studies and the current one, which may explain the lack of significance.…”

Section: Discussioncontrasting

confidence: 88%

“…28,29 Perceived benefits, barriers, susceptibility, knowledge, fear, age, and gender were all shown to be associated with FOBT use. [30][31][32][33][34][35][36][37][38][39] Intention to screen for CRC was significantly related to perceived susceptibility, benefits, and self-efficacy among Caucasian male employees. 40 Five worksite-based studies reported prospective adherence to sigmoidoscopy of at least 30%, [41][42][43][44][45] indicating that such a setting may be used successfully for screening programs.…”

Section: Theoretical Framework and Factors Associated With Screening Usementioning

confidence: 99%

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Beliefs Associated With Fecal Occult Blood Test and Colonoscopy Use at a Worksite Colon Cancer Screening Program

Menon

Champion

Larkin

et al. 2003

Journal of Occupational and Environmental Medicine

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Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. Although regular screening can decrease morbidity and mortality from CRC, screening rates nationwide are very low. This descriptive study assessed beliefs associated with fecal occult blood test and colonoscopy use among participants of a worksite colon cancer screening program. Randomly selected employees, aged 40 and older, were mailed a survey on CRC screening-related beliefs. Instruments were tested for reliability and validity. Results indicated that fecal occult blood test use was significantly associated with being female, Caucasian, having low perceived barriers, and provider recommendation. Colonoscopy use was significantly associated with higher knowledge, lower barriers, higher benefits, higher self-efficacy, and provider recommendation. Findings may be used to develop interventions designed to improve CRC screening rates.In recent years, colorectal cancer (CRC) has been recognized as a significant health problem. It is the second leading cause of cancer death in the United States and until recently, largely ignored. Although there has been a decreasing trend in mortality from CRC, over 56,000 deaths are estimated in 2003. 1 In addition, the American Cancer Society (ACS) estimates that over 147,500 new cases of CRC will be diagnosed in 2003. 1 Early detection and removal of polyps can lead to decreased mortality as well as decreased morbidity from the disease. 2 Survival from CRC is inversely related to stage of diagnosis. Those diagnosed with localized disease have higher 5-year survival rates: 90% for colon cancer and 80% for rectal cancer. 3 Polyps are precursors to CRC, taking about 7 to 12 years to progress to cancer. 4,5 Despite the promising prognosis for early-stage diagnosis, only about 37% of CRC is diagnosed at an early stage. 6 Inadequate use of screening tests is a major contributing factor to CRC mortality. Because there is enough evidence to support the use of regular screening to aid in early detection, the National Cancer Institute and ACS are among the major organizations calling for more research into ways to increase early detection. 7,8 Women were slightly less likely to have had an FOBT than men (34% versus 36%); women were, however, much less likely to have had a sigmoidoscopy (33% versus 43%). 10 These rates are well below the Healthy People 2010 goals to achieve screening rates of at least 50% for both screening behaviors. 11 It is also important to remember that these screening rates were collected through self-report. There is some evidence in the literature that selfreport for CRC screening overestimates actual use when compared with medical record data. 12,13 Therefore, CRC screening rates may be even lower than reported.A more recent study assessing the correlates of CRC screening reported that under use of CRC screening tests was highest among those aged 50 to 64 years, those with lower education, and lack of health insurance and preventive services. 14 Such findings unders...

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Section: Discussioncontrasting

confidence: 88%

Section: Theoretical Framework and Factors Associated With Screening Usementioning

confidence: 99%

Beliefs Associated With Fecal Occult Blood Test and Colonoscopy Use at a Worksite Colon Cancer Screening Program

Menon

Champion

Larkin

et al. 2003

Journal of Occupational and Environmental Medicine

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“…Previous research of GP involvement in mass screening for CRC using FOBT has found that the motivation of GPs is integral to patient compliance [33]. The medical practitioners involved in this trial were supportive of the idea of screening for CRC, particularly as screening was provided through their practices.…”

Section: Discussionmentioning

confidence: 73%

The view from two sides: a qualitative study of community and medical perspectives on screening for colorectal cancer using FOBT

Clavarino

Janda

Hughes

et al. 2004

Preventive Medicine

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“…To de vel op a vaba sis of in ter views with CRC screen ing experts. Only three stud ies were found to con tain de ter mi nants of GPs' CRC screening pref er ences [1,16,29]. These stud ies showed that fac tors in flu enc ing CRC screen ing pro mo tion by GPs were linked to pa tient sat is fac tion.…”

Section: At Tributes and Their Re Spec Tive Lev Elsmentioning

confidence: 99%

“…Two stud ies were con duct ed to iden ti fy the de ter mi nants of pub lic par tic i pa tion in CRC screen ing. In the Bur gundy study the dis tri bu tion of screen ing tests by GPs re sult ed in a better par tic i pa tion rate than the send ing of screen ing tests di rect ly to sub jects [8], while in an oth er French area com pli ance was close ly linked to GPs' de gree of mo tiva tion [16]. A re cent Aus tralian study confirmed this find ing by show ing that compli ance is high er when pa tients re ceive an in vi ta tion to screen ing signed by their GP rather than re ceiv ing one signed by the pro mot er cen ter with out men tion ing the GP's name [6].…”

mentioning

confidence: 99%

The reasons of general practitioners for promoting colorectal cancer mass screening in France

Berchi

Dupuis²,

Launoy

2006

Eur J Health Econ

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Implementation of colorectal cancer (CRC) mass screening is a public health priority. Obtaining the involvement of general practitioners (GPs) is crucial for ensuring participation by the general public. This study elicited GPs' reasons for promoting CRC screening. The method used was discrete choice modeling. Questionnaires with a set of pairs of hypothetical screening scenarios were sent to 700 GPs. Factors influencing GPs' screening practice were found to be: the effectiveness of the screening program, the proportion of false negatives and false positives, and their remuneration. Hence improving screening test sensitivity and setting up specific remuneration for conducting screening would help to increase GPs' participation in CRC screening in France.

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Involvement of general practitioners in mass screening. Experience of a colorectal cancer mass screening programme in the Calvados region (France)

Cited by 41 publications

References 0 publications

Beliefs Associated With Fecal Occult Blood Test and Colonoscopy Use at a Worksite Colon Cancer Screening Program

Beliefs Associated With Fecal Occult Blood Test and Colonoscopy Use at a Worksite Colon Cancer Screening Program

The view from two sides: a qualitative study of community and medical perspectives on screening for colorectal cancer using FOBT

The reasons of general practitioners for promoting colorectal cancer mass screening in France

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