Table 3.

Overall Patterns of CRC Screening Discussions

DescriptorIllustrative Quotation
DiscouragingOn the other hand, you probably don't have colon cancer and, therefore, there's a real good chance that doing this screening test won't benefit you in any way other than giving you the peace of mind that you don't have something that you weren't even suspicious of.
Neutral recommendation/ outside influenceIf the patient is 50 years old or more, I just simply suggest that the American Cancer Society and the American Society of Gastroenterologists suggest that all patients at 50 years of age or older should be screened for colorectal cancer.
Personal recommendationWe would recommend, after the age of 50 … you be screened for colon cancer.
ChampionI'd say, ‘It's imperative that a screening colonoscopy be done …’ I tell patients myself that I believe in this and when I turn 50 … I myself will have a colonoscopy.
‘The lifetime incidence of colon cancer approaches 8% in this country. If you were to cross the street and get run over 1 out of 10 times, which is essentially the same [risk], you would consider that a significant risk, so I think we ought to take a look [and do a colonoscopy].’ And sometimes I tell them that my father and my grandmother had colon cancer and that I'm an evangelist on the subject.