Barriers to colorectal cancer (CRS) screening in minority communities: inadequate knowledge of guidelines by physicians in training

Gennarelli, Melissa; Jandorf, Lina; Cromwell, Caroline; Valdimarsdottir, Heiðdís; Redd, William H.; Itzkowitz, Steven H.

doi:10.1016/s0016-5085(08)83002-8

Cited by 25 publications

(36 citation statements)

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“…Therefore, the call for further educational efforts targeting health care professionals is still valid in the fight against CRC because the lack of knowledge is still common and contributing to the underutilization of screening at-risk populations. [19] Nurses and physicians need be knowledgeable about the CRC screening guidelines to provide appropriate health education, counseling, screening, and referrals. The knowledge of nurses and physicians can be improved through focused efforts to update the curricula used during basic professional training with evidence-based content about cancer prevention and screening.…”

Section: Discussionmentioning

confidence: 99%

“…[15] Unfortunately, lack of adequate knowledge about CRC screening guidelines by HCPs is common and promotes preconceived ideas about patients, screening tests, and generates reluctance to recommend CRC screening. [19] For instance, some HCPs may not be aware of the factors that place a patient at increased risk of CRC when to initiate screening, or which screening procedure to recommend. [20] Therefore, apart from patient-related barriers[2122] and health care system barriers,[2324] the level of the HCPs’ knowledge regarding CRC screening can impede the uptake of CRC screening.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to Colorectal Cancer Screening in Primary Care Settings: Attitudes and Knowledge of Nurses and Physicians

Muliira

D’Souza

Ahmed

et al. 2016

Asia-Pacific Journal of Oncology Nursing

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Objective:Healthcare providers (HCPs) play a critical role in reducing colorectal cancer (CRC) related morbidity and mortality. This study aimed at exploring the attitudes and knowledge of nurses and physicians working in primary care settings regarding CRC screening.Methods:A total of 142 HCPs (57.7% nurses and 42.3% physicians) participated in a cross-sectional survey. Data were collected using a Self-administered Questionnaire. The participants were clinically experienced (mean = 9.39 years; standard deviation [SD] = 6.13), regularly taking care of adults eligible for CRC screening (62%) and had positive attitudes toward CRC screening (83.1%). Most participants (57%) had low levels of knowledge about CRC screening (mean = 3.23; SD = 1.50). The participants were most knowledgeable about the recommended age for initiating screening (62.7%) and the procedures not recommended for screening (90.8%).Results:More than 55% did not know the frequency of performing specific screening procedures, the upper age limit at which screening is not recommended, and the patients at high-risk for CRC. There were no significant differences between nurses’ and physicians’ attitudes and knowledge. The participants’ perceptions about professional training (odds ratio [OR] = 2.17, P = 0.003), colonoscopy (OR = 2.60, P = 0.014), and double-contrast barium enema (OR = 0.53, P = 0.041), were significantly associated with knowledge about CRC screening.Conclusions:The inadequate knowledge levels among nurses and physicians may be one of the barriers affecting CRC screening. Enhancing HCPs knowledge about CRC screening should be considered a primary intervention in the efforts to promote CRC screening and prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to Colorectal Cancer Screening in Primary Care Settings: Attitudes and Knowledge of Nurses and Physicians

Muliira

D’Souza

Ahmed

et al. 2016

Asia-Pacific Journal of Oncology Nursing

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“…This is crucial given that most patients visit a physician near the age to start screening for colorectal and breast cancers (average age at public hospitals’ internal medicine clinics 48.31±20.27 years old). [31], [32] In Guatemala, like in the U.S. and Mexico, recommendation practices improved with advanced training levels [29], [33]–[35]. However, given the relevance of recommendations, residents should receive appropriate training on preventive medicine early in their careers.…”

Section: Discussionmentioning

confidence: 99%

Clinical Preventive Services in Guatemala: A Cross-Sectional Survey of Internal Medicine Physicians

et al. 2012

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BackgroundGuatemala is currently undergoing an epidemiologic transition. Preventive services are key to reducing the burden of non-communicable diseases, and smoking counseling and cessation are among the most cost-effective and wide-reaching strategies. Internal medicine physicians are fundamental to providing such services, and their knowledge is a cornerstone of non-communicable disease control.MethodsA national cross-sectional survey was conducted in 2011 to evaluate knowledge of clinical preventive services for non-communicable diseases. Interns, residents, and attending physicians of the internal medicine departments of all teaching hospitals in Guatemala completed a self-administered questionnaire. Participants’ responses were contrasted with the Guatemalan Ministry of Health (MoH) prevention guidelines and the US Preventive Services Task Force (USPSTF) recommendations. Analysis compared knowledge of recommendations within and between hospitals.ResultsIn response to simulated patient scenarios, all services were recommended by more than half of physicians regardless of MoH or USPSTF recommendations. Prioritization was adequate according to the MoH guidelines but not including other potentially effective services (e.g. colorectal cancer and lipid disorder screenings). With the exception of colorectal and prostate cancer screening, less frequently recommended by interns, there was no difference in recommendation rates by level.ConclusionGuatemalan internal medicine physicians’ knowledge on preventive services recommendations for non-communicable diseases is limited, and prioritization did not reflect cost-effectiveness. Based on these data we recommend that preventive medicine training be strengthened and development of evidence-based guidelines for low-middle income countries be a priority.

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“…5-10 Provider barriers include reluctance to order CRC screening tests owing to cost or perceived patient barriers, lack of agreement with screening guidelines, and competing priorities. 11-17 The lack of a chart reminder system or policies to improve screening rates are identified system-level barriers. 10,17,18 …”

mentioning

confidence: 99%

Community Members’ Input into Cancer Prevention Campaign Development and Experience Being Featured in the Campaign

Katz¹,

Keller²,

Tatum³

et al. 2015

cpr

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Background Colorectal cancer (CRC) incidence and mortality rates are increased and CRC screening rates are lower among Appalachia Ohio residents. Objectives We sought to describe 1) a partnership of cancer researchers and community members that developed county-specific media campaigns to improve CRC screening rates (intervention) and fruit and vegetable consumption (control) and 2) the experience of community members featured in the campaigns. Methods Community members assisted with campaign-development, were featured in campaigns, identified locations for materials, and promoted the campaigns. Campaigns included billboards, posters, and information in local newspapers. A mailed survey assessed featured community members’ experiences in the campaigns. Lessons Learned Ongoing communication among members of the partnership was critical to successful community-level campaigns. Featured community members had mostly positive experiences about being included in the campaigns. Conclusions Having a shared vision, ongoing trust, and good communication are essential elements to maintaining a viable academic-community partnership.

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Barriers to colorectal cancer (CRS) screening in minority communities: inadequate knowledge of guidelines by physicians in training

Cited by 25 publications

References 0 publications

Barriers to Colorectal Cancer Screening in Primary Care Settings: Attitudes and Knowledge of Nurses and Physicians

Barriers to Colorectal Cancer Screening in Primary Care Settings: Attitudes and Knowledge of Nurses and Physicians

Clinical Preventive Services in Guatemala: A Cross-Sectional Survey of Internal Medicine Physicians

Community Members’ Input into Cancer Prevention Campaign Development and Experience Being Featured in the Campaign

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