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Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland.

Authors
  • Braun, Alexander Leonhard1
  • Prati, Emanuele1
  • Martin, Yonas1
  • Dvořák, Charles2
  • Tal, Kali1
  • Biller-Andorno, Nikola3
  • Bulliard, Jean-Luc4
  • Cornuz, Jacques4
  • Selby, Kevin4, 5
  • Auer, Reto6, 7
  • 1 Institute of Primary Health Care (BIHAM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland. , (Switzerland)
  • 2 President Sentinella Network, Bern, Switzerland. , (Switzerland)
  • 3 Institute for Biomedical Ethics and History of Medicine (IBME), Zurich, Switzerland. , (Switzerland)
  • 4 University General Medicine and Public Health Centre, University of Lausanne, Lausanne, Switzerland. , (Switzerland)
  • 5 Northern California Division of Research, Kaiser Permanente, Oakland, CA, USA.
  • 6 Institute of Primary Health Care (BIHAM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland. [email protected] , (Switzerland)
  • 7 University General Medicine and Public Health Centre, University of Lausanne, Lausanne, Switzerland. [email protected] , (Switzerland)
Type
Published Article
Journal
International journal of public health
Publication Date
Sep 01, 2019
Volume
64
Issue
7
Pages
1075–1083
Identifiers
DOI: 10.1007/s00038-019-01259-4
PMID: 31201428
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To determine the proportion of 50-75-year-old patients who visit a primary care physician's (PCP) office and were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood testing (FOBT) within 2 years. To describe the variation in care between PCPs and factors associated with these proportions. Cross-sectional data collected between April and December 2017. PCPs reporting for the Swiss Sentinel Surveillance Network. Each PCP collected demographic data and CRC testing status from 40 consecutive patients. proportions of patients up to date with CRC screening and method used (colonoscopy/FOBT/Other); variation in the outcome measures between PCPs; association of physician-level factors with main outcomes. 91/129 PCPs collected data from 3451 patients; 45% had been tested for CRC within recommended intervals (41% colonoscopy, 4% FOBT). The proportions of patients tested and testing with colonoscopy versus FOBT varied widely between PCPs. Language region was associated with PCPs' rate of FOBT prescription. Less than half of patients who visited PCPs in Switzerland were tested for CRC within recommended intervals. PCPs varied widely in their testing practices.

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