Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening.

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Abstract Text:

Jennifer S Haas,Garrett Fitzmaurice,Phyllis Brawarsky,Su-Ying Liang,Robert A Hiatt,Carrie N Klabunde,Martin L Brown,Kathryn A Phillips,

INTRODUCTION: Studies show that the recommendations of a primary care physician for colorectal cancer screening may be one important influence on an individual's use of screening. However, another possible influence, the effect of regional differences in physicians' beliefs and recommendations on screening use, has not been assessed. METHODS: We linked data from the National Health Interview Survey on the use of colorectal cancer screening by respondents aged 50 years or older, by hospital-referral region, with data from the Survey of Colorectal Cancer Screening Practices on the colorectal cancer screening recommendations of primary care physicians, by region. Our principal independent variables were the proportion of physicians in a region who recommended screening at age 50 and continuing screening at the recommended frequency. RESULTS: On average, 53.3% of physicians in a region correctly recommended initiating colorectal cancer screening, and 64.8% advised screening at the recommended frequency. Of adults who lived in regions where less than 30% of physicians correctly recommended initiating screening, 47.3% had been screened, in contrast to 54.8% in areas where 70% or more of physicians made correct recommendations. Seventy-one percent of respondents living in regions where less than 30% of physicians advised screening at the recommended frequency were current on screening, in contrast to 79.9% of respondents living in regions where 70% or more of physicians made this recommendation. These differences were statistically significant after adjustment for individual characteristics. CONCLUSION: Strategies to improve colorectal cancer screening recommendations of primary care physicians may improve the use of screening for millions of Americans.

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Publishing Authors By Initials

JS Haas,G Fitzmaurice,P Brawarsky,SY Liang,RA Hiatt,CN Klabunde,ML Brown,KA Phillips,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

PUBMED ID PMID:

MEDLINE DATE:

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Preventing chronic disease

VOLUME: 4

Page Numbers: A90

Journal Abbreviation:

ISSN: 1545-1151

DAY: 15

MONTH: 09

YEAR: 2007

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 101205018

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: prevention & control

Chemical & Substance for Abstract: Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening.

AFFILIATION: Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02120-1613, USA. jhaas@partners.org

Country: United States

AGENCY: United States NCI

GRANT: R01 CA 10184

ACRONYM: CA

MEDLINETA: Prev Chronic Dis

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening Related Publications

• Carrageenan/MIV-150 (PC-815), a combination microbicide.
• Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer.
• Determinants of the variability of aflatoxin-albumin adduct levels in Ghanaians.
• Drifting blooms of the endemic filamentous brown alga Hincksia sordida at Noosa on the subtropical east Australian coast.
• Ethanol-related traits in mice selectively bred for differential sensitivity to methamphetamine-induced activation.
• GABAB receptor stimulation accentuates the locomotor effects of morphine in mice bred for extreme sensitivity to the stimulant effects of ethanol.
• Gravity: It's the law.
• Is 'alcoholism' genetically transmitted? And are there any implications for prevention?
• Optimization and evaluation of a coarse-grained model of protein motion using x-ray crystal data.
• Patent ductus arteriosus ligation in premature infants: who really benefits, and at what cost?
• Pathological skin picking in individuals with body dysmorphic disorder.
• Postchallenge glucose rises with increasing age even when glucose tolerance is normal.
• Relaxed selection among duplicate floral regulatory genes in Lamiales.
• Response of interleukin-1beta in the magnocellular system to salt-loading.
• Sensitivity to the locomotor-stimulant effects of ethanol and allopregnanolone: a quantitative trait locus study of common genetic influence.
• Social functioning in body dysmorphic disorder: assessment considerations.
• Structure and dynamics of UDP-glucose pyrophosphorylase from Arabidopsis thaliana with bound UDP-glucose and UTP.
• Structure of aspartoacylase, the brain enzyme impaired in Canavan disease.
• The limits of reductionism in medicine: could systems biology offer an alternative?
• The opportunity for canalization and the evolution of genetic networks.
• The role of structural prediction in rapid syntactic analysis.
• The time resolved fluorescence and anisotropy of subtilisins BPN' and Carlsberg.
• Total synthesis of (-)-dictyostatin.
• Tumor delineation using PET in head and neck cancers: threshold contouring and lesion volumes.
• Two- or four-hour lying deprivation on the behavior of lactating dairy cows.
• UPJ Obstruction in the Adult Population: Are Crossing Vessels Significant?
• Variation in pleiotropy and the mutational underpinnings of the G-matrix.
• Weight concerns in individuals with body dysmorphic disorder.
• X-ray crystal structures of the conserved hypothetical proteins from Arabidopsis thaliana gene loci At5g11950 and AT2g37210.
• [Survey of suicidal ideation and suicide attempts in outpatients at 50 general hospitals in Beijing]