Screening for colorectal neoplasia: Physicians' adherence to complete diagnostic evaluation

R. E. Myers; A. M. Balshem; T. A. Wolf; E. A. Ross; L. Millner

doi:10.2105/AJPH.83.11.1620

Screening for colorectal neoplasia: Physicians' adherence to complete diagnostic evaluation

R. E. Myers, A. M. Balshem, T. A. Wolf, E. A. Ross, L. Millner

Cancer Prevention and Control (CPC)

Fox Chase Cancer Center

Research output: Contribution to journal › Article › peer-review

47 Scopus citations

Abstract

This prospective study was done in a health maintenance organization colorectal cancer screening program to determine whether 166 persons found to have abnormal fecal occult blood test results typically underwent complete diagnostic evaluation (i.e., either colonoscopy or barium enema x-ray plus flexible sigmoidoscopy). Chart audit data show that 137 (82%) subjects contacted a physician to discuss follow-up. A complete diagnostic evaluation was recommended to only 52 (38%) patients who talked with a physician. Forty- two (81%) patients who were advised to get a complete diagnostic evaluation actually complied. Significant differences in clinical findings were observed for patients who did and did not have a complete diagnostic evaluation.

Original language	English
Pages (from-to)	1620-1622
Number of pages	3
Journal	American Journal of Public Health
Volume	83
Issue number	11
DOIs	https://doi.org/10.2105/AJPH.83.11.1620
State	Published - 1993

Keywords

Colorectal Neoplasms/diagnosis
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Medical Audit
Middle Aged
Practice Guidelines as Topic
Prospective Studies

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10.2105/AJPH.83.11.1620

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AU - Balshem, A. M.

AU - Wolf, T. A.

AU - Ross, E. A.

AU - Millner, L.

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KW - Medical Audit

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Screening for colorectal neoplasia: Physicians' adherence to complete diagnostic evaluation

Abstract

Keywords

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