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Research ArticleOriginal Research

Physician Recommendation and Patient Adherence for Colorectal Cancer Screening

Shawna V. Hudson, Jeanne M. Ferrante, Pamela Ohman-Strickland, Karissa A. Hahn, Eric K. Shaw, Jennifer Hemler and Benjamin F. Crabtree
The Journal of the American Board of Family Medicine November 2012, 25 (6) 782-791; DOI: https://doi.org/10.3122/jabfm.2012.06.110254
Shawna V. Hudson
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Jeanne M. Ferrante
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Pamela Ohman-Strickland
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Karissa A. Hahn
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Eric K. Shaw
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Jennifer Hemler
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Benjamin F. Crabtree
From The Cancer Institute of New Jersey (SVH, JMF, PO-S, JH, BFC) and the Department of Family Medicine and Community Health (SVH, JMF, PO-S, KAH, EKS, BFC), UMDNJ-Robert Wood Johnson Medical School, New Brunswick; and the Biometrics Division, UMDNJ-School of Public Health, Piscataway, NJ (PO-S).
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Abstract

Background: Physician recommendation is one of the strongest, most consistent predictors of colorectal cancer (CRC) screening. Little is known regarding characteristics associated with patient adherence to physician recommendations in community and academic based primary care settings.

Methods: Data were analyzed from 975 patients, aged ≥50 years, recruited from 25 primary care practices in New Jersey. Chi-square and generalized estimate equation analyses determined independent correlates of receipt of and adherence to physician recommendation for CRC.

Results: Patients reported high screening rates for CRC (59%). More than three fourths of patients reported either screening or having received a screening recommendation (82%). Men (P = .0425), nonsmokers (P = .0029), and patients who were highly educated (P = .0311) were more likely to receive a CRC screening recommendation. Patients more adhere to CRC screening recommendations were older adults (P < .0001), nonsmokers (P = .0005), those who were more highly educated (P = .0365), Hispanics (P = .0325), and those who were married (P < .0001).

Conclusions: Community and academic primary care clinicians appropriately recommended screening to high-risk patients with familial risk factors. However, they less frequently recommended screening to others (ie, women and smokers) also likely to benefit. To further increase CRC screening, clinicians must systematically recommend screening to all patients who may benefit.

  • Colon/Colorectal Cancer Screening
  • Community Medicine
  • Physician/Patient Interaction
  • Practice-Based Research
  • Prevention/Screening
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The Journal of the American Board of Family     Medicine: 25 (6)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 6
November-December 2012
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Physician Recommendation and Patient Adherence for Colorectal Cancer Screening
Shawna V. Hudson, Jeanne M. Ferrante, Pamela Ohman-Strickland, Karissa A. Hahn, Eric K. Shaw, Jennifer Hemler, Benjamin F. Crabtree
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 782-791; DOI: 10.3122/jabfm.2012.06.110254

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Physician Recommendation and Patient Adherence for Colorectal Cancer Screening
Shawna V. Hudson, Jeanne M. Ferrante, Pamela Ohman-Strickland, Karissa A. Hahn, Eric K. Shaw, Jennifer Hemler, Benjamin F. Crabtree
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 782-791; DOI: 10.3122/jabfm.2012.06.110254
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Keywords

  • Colon/Colorectal Cancer Screening
  • Community Medicine
  • Physician/Patient Interaction
  • Practice-Based Research
  • Prevention/Screening

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