TITLE

Survey of Internal Medicine Residents' Use of the Fecal Occult Blood Test and Their Understanding of Colorectal Cancer Screening and Surveillance

AUTHOR(S)
Sharma, Virender K.; Corder, Fred A.; Raufman, Jean-Pierre; Sharma, Prateek; Fennerty, M. Brian; Howden, Colin W.
PUB. DATE
August 2000
SOURCE
American Journal of Gastroenterology;Aug2000, Vol. 95 Issue 8, p2068
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: Primary care physicians have imperfect understanding of current colorectal cancer screening guidelines and recommendations. Furthermore, compliance with colorectal cancer screening by internal medicine residents has been demonstrated to be poor. We sought to identify whether current trainees in internal medicine had adequate understanding of colorectal cancer screening and surveillance and test utilization. METHODS: We applied a structured questionnaire about colorectal cancer screening and the use of fecal occult blood tests to 168 internal medicine residents at four accredited programs in the U.S. They were also asked for recommendations about six hypothetical patients who may have been candidates for screening or surveillance. RESULTS: Seventy-one percent identified 50 yr as the currently recommended age to commence screening in an average-risk individual; 64.3% would begin screening with fecal occult blood testing and flexible sigmoidoscopy and 4.8% with colonoscopy. Most perform fecal occult blood testing on stool obtained at digital rectal exam and without prior dietary restrictions. Many use fecal occult blood testing for indications other than colorectal cancer screening. Only 29% recommended colonoscopy to evaluate a positive fecal occult blood test. Most residents plan to be screened for colorectal neoplasia at the appropriate age; significantly more opted for colonoscopy than recommended it for their patients. CONCLUSIONS: Internal medicine residents have many misperceptions regarding colorectal cancer screening and the utility of the fecal occult blood test. Educational efforts should be directed at internal medicine residents, many of whom plan careers in primary care, where most colorectal cancer screening is currently performed.
ACCESSION #
17651775

 

Related Articles

  • Fecal Occult Blood Testing in a Noncompliant Inner City Minority Population: Increased Compliance and Adherence to Screening Procedures Without Loss of Test Sensitivity Using Stool Obtained at the Time of In-Office Rectal Examination. Parikh, Ameet; Ramamoorthy, Ravishankar; Kim, Kyung H.; Holland, Bart K.; Houghton, JeanMarie // American Journal of Gastroenterology;Jun2001, Vol. 96 Issue 6, p1908 

    OBJECTIVES: Fecal occult blood screening is cost-effective, is easily administered to large groups of patients, and reduces mortality associated with colorectal cancer. Within our predominant African American and Latino inner city clinic populations, compliance with common screening procedures...

  • Primary screening with colonoscopy for colorectal cancer: a targeted algorithm? Byrne, Michael F. // American Journal of Gastroenterology;Dec2003, Vol. 98 Issue 12, p2587 

    Introduces articles in the December 2003 issue of the "American Journal of Gastroenterology". Study investigating the use of colonoscopy as a primary screening test for colorectal cancer (CRC) in average risk people; Absence of randomized trials to support screening colonoscopy; Studies in Great...

  • Brits happy to play poo sticks. Cameron, Amanda // New Zealand Doctor;4/9/2008, p10 

    The article reports on a feasibility study of a national colorectal screening program in Great Britain. According to the article, the study revealed that 75% of those surveyed expressed willingness to participate in fecal occult blood-testing (FOBT) by post. It was found that screening picked up...

  • Reports of colorectal cancer screening in older patients on the rise.  // Hem/Onc Today;5/10/2008, Vol. 9 Issue 8, p46 

    The article reports that according to survey data published in the "Morbidity and Mortality Weekly Report," there was an increase in the use of fecal occult blood testing and/or lower endoscopy between 2002 and 2006 in people aged 50 years and older in the U.S. The data included all 50 states...

  • Do dietary restrictions reduce fecal occult blood testing adherence? Richardson, Caroline R. // Journal of Family Practice;Dec2001, Vol. 50 Issue 12, p1081 

    The article presents studies that examined the impact of counseling patients on dietary restrictions before fecal occult blood testing (FOBT) on the number of FOBT cards returned. Population-based screening for fecal occult blood has been shown to reduce mortality from colorectal cancer....

  • Survival of Patients Diagnosed with Colorectal Cancer Through a Television-Advertised Screening Program. Slusser, Stephen O.; Liberski, Susan M.; McCarrity, Thomas J. // American Journal of Gastroenterology;Aug1996, Vol. 91 Issue 8, p1563 

    Objectives: Although controversial, fecal occult blood testing (FOBT) is advocated to reduce mortality due to colorectal cancer. Our aim was to determine whether a television-advertised screening program for colorectal cancer using fecal occult blood tests improved survival of patients diagnosed...

  • A future for faecal haemoglobin measurements in the medical laboratory. Fraser, Callum G. // Annals of Clinical Biochemistry;Nov2012, Vol. 49 Issue 6, p518 

    Guaiac-based faecal occult blood tests (gFOBT) are still used in asymptomatic population bowel screening programmes but are being replaced by faecal immunochemical tests (FIT) for haemoglobin. gFOBT have many well-documented disadvantages and there is little evidence for their use in assessment...

  • Colorectal cancer screening. Newson, Louise // GP: General Practitioner;6/23/2006, p36 

    This article focuses on the medical screening and management of colorectal cancer in Great Britain. In theory, colorectal cancer is amenable to screening because it has a prolonged premalignant phase. After the British Colorectal Cancer Screening Pilot was completed, a national screening...

  • Screening for Colorectal Cancer—Which Strategy is the Best? Church, Timothy R. // JNCI: Journal of the National Cancer Institute;Sep2011, Vol. 103 Issue 17, p1282 

    The article reviews research studies on the most effective screening method for colorectal cancer (CRC). Literature review reveals that given the comparability of screening outcomes of flexible sigmoidoscopy, colonoscopy and fecal occult blood test (FOBT), cost effectiveness analyses of the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics