Table 1.

Physicians’ Reasons for Specific Patients Being Up to Date With CRC Guidelines

ReasonsIllustrative Quotation
Reasons for diagnostic testing
    Symptoms suggestive of possible CRCHe did have one episode of bleeding and I worked on him for about 2 years to have a colonoscopy.
    Previous pathology within the colonHe actually had had rectal bleeding back in 1993, and I did a flex sig …, and I found a polyp … So actually what got him started on the trail of lower GI endoscopy was symptoms more than anything else, and he's just followed through as he was instructed with surveillance scopes.
Reasons for asymptomatic screening
    Physician recommendation to be screenedShe actually presented for a health maintenance examination in 2002 and [we] … actually recommended that she be screened for colon cancer. She accepted the recommendations and then chose the colonoscopy as the method of choice.
    Patient awareness of and interest in screening and health maintenance[She] did have a screening test because she understands the importance of it.
[He] has been a long-time patient who has been interested in regular health supervision examinations and chronicity of care examinations.
    Patient has/had a type of cancer other than CRC[She] had had breast cancer times two. I advised her there was an association between breast cancer and colon cancer and I personally had two cases where this was the case, and this was the motivation for her to move forward with the colonoscopy.
    Family history of CRCDuring [his] well care we discussed risk factors… . He had a positive family history of colon cancer.
    Multiple factors (family history, physician recommendation, patient awareness)Basically, her mom had colon cancer, and she actually is clever enough to figure out what we mean when we talk about screening tests. I think she basically just took my advice and decided to go ahead and have a screening test.
  • CRC, colorectal cancer; GI, gastrointestinal.