Primary Care Clinician Decision-Making Around Surveillance Colonoscopies in Older Adults with Prior Adenomas

Nancy L. Schoenborn; Cynthia M. Boyd; Jacqueline Massare; Reuben Park; Youngjee Choi; Craig E. Pollack

doi:10.3122/jabfm.2020.05.200075

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Table 1.

Characteristics and Responses from 30 Maryland Primary Care Clinicians on Decision Making about Colorectal Cancer Surveillance in Older Patients with Prior Adenomas (Data Collection October 2018 to May 2019)

Characteristics	No. (%) or Mean (SD)
Age, years	48.2 (10.0)
Female sex	16 (53%)
Race
White	18 (60%)
African American	6 (20%)
Other	6 (20%)
Degree
Physician	24 (80%)
Certified registered nurse practitioner	5 (17%)
Physician's assistant	1 (3%)
Years since completing training	17.5 (10.2)
Specialty
Internal medicine	17 (57%)
Family medicine	6 (20%)
Medicine/pediatrics	2 (7%)
Geriatrics	5 (17%)
Clinic site
Urban	13 (43%)
Suburban	17 (57%)
Clinic type
Clinics affiliated with academic university	8 (27%)
Clinics within a large group practice	14 (47%)
Solo clinics	5 (17%)
House-call program for homebound patients	1 (3%)
Program for all-inclusive care of the elderly	2 (7%)
Proportion of patients ≥65 years old in patient panel
<25%	7 (23%)
25% to 49%	13 (43%)
50% to 74%	4 (13%)
>75%	6 (20%)
Decision-making approach regarding surveillance in older patients with prior adenomas^*
Deferred to GI	12 (40%)
Discussed with patient and/or GI to make decision together	5 (17%)
Described stopping surveillance based on patient age, comorbidities, or life expectancy	7 (23%)
Favored continued surveillance	1 (3%)
Decision depended on specific patient characteristics	3 (10%)

GI, gastroenterology; SD, standard deviation.
↵* Two participants did not give direct responses about decision making around surveillance colonoscopies in the interviews.