Poor Knowledge of Colorectal Cancer Screening and Surveillance Guidelines in a National Cohort of Digestive Disease Specialists

Patell, Rushad; Karwa, Abhishek; López, Rocío; Burke, Carol A.

doi:10.1007/s10620-018-5339-2

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…In our study, the only factor independently associated with physician performance according to clinical practice guidelines was the number of years practicing in the specialty. In multivariate analysis, those with more than 15 years of practice were significantly less likely to respond correctly to at least 60 % of questions This result is also congruent with previous studies that showed that more recent training among specialists was associated with a greater knowledge about and adherence to CRC screening guidelines 21 , proving that the population included in our study is similar to those included in similar studies.…”

Section: Discussionsupporting

confidence: 91%

“…In the largest US nationwide survey of 1432 gastroenterologists, Patell et al evaluated guideline knowledge using four clinical vignettes and correct identification of all factors used to determine screening policies, such as age to start or intervals of surveillance colonoscopy. This study also showed that only 22 % of respondents were 100 % accurate about screening and only 37 % were 100 % accurate about surveillance [21]. Thus, the poor specialist clinical practice guideline level of knowledge observed in our study is comparable to that observed in other studies and highlights the need for implementing new strategies to improve clinical practice guideline knowledge and adherence.…”

Section: Discussionsupporting

confidence: 71%

“…Based on previous publications, the proportion of gastroenterologists responding to 100 % of the clinical vignettes correctly was observed to be only 22 % to 37 % [21]. The study expert committee from the participating societies agreed that a minimum of 60 % correct responses to the clinical vignettes was required to achieve acceptable guidelines adherence in daily practice.…”

Section: Sample Size Calculation and Statistical Analysismentioning

confidence: 97%

“…Therefore, we developed a mobile-based ap,p named CaPtyVa CCR, that could be useful for physicians to improve CRC screening and surveillance guideline-based decision-making 21 .…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios

et al. 2021

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Background and study aims The adherence to and knowledge of physicians about colorectal cancer (CRC) screening and surveillance guidelines is still suboptimal, threatening the effectiveness of CRC screening. This study assessed the usefulness of a mobile decision support system (MDSS) to improve physician ability to recommend proper timing of and intervals for CRC screening and surveillance. Patients and methods This was a binational, single-blinded, randomized clinical trial including gastroenterologists and colorectal surgeons from Argentina and Uruguay. The specialists were invited to respond to a questionnaire with 10 CRC screening and surveillance clinical scenarios, randomized into two groups, with and without access to a dedicated app (CaPtyVa). The main outcome measure was the proportion of physicians correctly solving at least 60 % of the clinical cases according to local guidelines. Results A total of 213 physicians were included. The proportion of physicians responding correctly at least 60 % of the vignettes was higher in the app group as compared to the control group (90 % versus 56 %) (relative risk [RR] 1.6 95 % confidence interval [CI] 1.34–1.91). The performance was also higher in the app group for both vignette categories: CRC screening (93 % vs 75 % RR 1.24, 95 %CI 1.01–1.40) and surveillance (85 % vs 47 % RR 1.81 95 %CI 1.46–2.22), respectively. Physicians considered the app easy to use and of great utility in daily practice. Conclusions A MDSS was shown to be a useful tool that improved specialist performance in solving CRC screening and surveillance clinical scenarios. Its implementation in daily practice may facilitate the adherence of physicians to CRC screening and surveillance guidelines.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 71%

Section: Sample Size Calculation and Statistical Analysismentioning

confidence: 97%

“…Therefore, we developed a mobile-based ap,p named CaPtyVa CCR, that could be useful for physicians to improve CRC screening and surveillance guideline-based decision-making 21 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios

et al. 2021

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“…Another possible reason for both over-and underscreening among our cohort is lack of physician knowledge regarding appropriate colorectal cancer screening and surveillance guidelines. A recent study found that while 84%-88% of digestive disease specialists reported that they were confident in recalling colorectal cancer surveillance and screening guidelines, only 22%-37% could accurately identify the factors that determine screening age of onset and surveillance interval and questions involving four clinical vignettes involving screening and surveillance (34).…”

Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Two Interventions to Increase Colorectal Cancer Screening for Those at Increased Risk Based on Family History: Results of a Randomized Trial

Paskett

Bernardo

Young

et al. 2020

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: First-degree relatives (FDR) of patients with colorectal cancer are at risk for colorectal cancer, but may not be up to date with colorectal cancer screening. We sought to determine whether a one-time recommendation about needing colorectal cancer screening using patient navigation (PN) was better than just receiving the recommendation only.Methods: Participants were FDRs of patients with Lynch syndrome-negative colorectal cancer from participating Ohio hospitals. FDRs from 259 families were randomized to a website intervention (528 individuals), which included a survey and personal colorectal cancer screening recommendation, while those from 254 families were randomized to the website plus telephonic PN intervention (515 individuals). Primary outcome was adherence to the personal screening recommendation (to get screened or not to get screened) received from the website. Secondary outcomes examined who benefited from adding PN.Results: At the end of the 14-month follow-up, 78.6% of participants were adherent to their recommendation for colorectal cancer screening with adherence similar between arms (P ¼ 0.14). Among those who received a recommendation to have a colonoscopy immediately, the website plus PN intervention significantly increased the odds of receiving screening, compared with the website intervention (OR: 2.98; 95% confidence interval, 1.68-5.28).Conclusions: Addition of PN to a website intervention did not improve adherence to a colorectal cancer screening recommendation overall; however, the addition of PN was more effective in increasing adherence among FDRs who needed screening immediately.Impact: These findings provide important information as to when the additional costs of PN are needed to assure colorectal cancer screening among those at high risk for colorectal cancer.

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The Rise of Colorectal Cancer in Asia: Epidemiology, Screening, and Management

Onyoh

Hsu²,

Chang

et al. 2019

Curr Gastroenterol Rep

148

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Poor Knowledge of Colorectal Cancer Screening and Surveillance Guidelines in a National Cohort of Digestive Disease Specialists

Cited by 7 publications

References 24 publications

Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios

Usefulness of a mobile app to improve performance of specialists in responding correctly to CRC screening and surveillance clinical scenarios

Comparative Effectiveness of Two Interventions to Increase Colorectal Cancer Screening for Those at Increased Risk Based on Family History: Results of a Randomized Trial

The Rise of Colorectal Cancer in Asia: Epidemiology, Screening, and Management

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