caa a22 4500 445314931 CHVBK 20180317142643.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10552-011-9801-0 doi (NATIONALLICENCE)springer-10.1007/s10552-011-9801-0 Primary care physician compliance with colorectal cancer screening guidelines [Elektronische Daten] [Jesse Nodora, William Martz, Erin Ashbeck, Elizabeth Jacobs, Patricia Thompson, María Martínez] Objective: To assess self-reported compliance to colorectal cancer (CRC) screening guidelines among primary care physicians (PCPs) and to assess physician and practice characteristics associated with reported compliance. Methods: Survey data from 984 PCPs in Arizona were used. Self-reported CRC screening practices, recommendations, and compliance with guidelines were assessed. Physician and practice characteristics associated with guideline compliance were also evaluated. Results: While 77.5% of physicians reported using national screening guidelines, only 51.7% reported recommendations consistent with the guidelines. Younger physicians were significantly more likely to report compliance with screening guidelines (OR=1.50, 95% CI=1.07-2.10) as were female clinicians (OR=1.46, 95% CI=1.11-1.92). Physicians practicing in solo (OR=0.33, 95% CI=0.19-0.58), group (OR=0.36, 95% CI=0.21-0.62), or community health centers (OR=0.37, 95% CI=0.17-0.81) were significantly less likely to report following guidelines as compared to those in academic practice. Guideline compliance was higher for fecal occult blood test (FOBT) (65.0%) than colonoscopy (56.7%); overuse of screening for these modalities was reported among 34.4% of physicians. Conclusions: PCPs are not adequately following CRC screening guidelines. Further studies are needed to clarify the reasons for this lack of compliance, especially as guidelines become more complex. Springer Science+Business Media B.V., 2011 Colorectal cancer nationallicence Screening nationallicence Guidelines nationallicence Primary care physicians nationallicence Compliance nationallicence Colonoscopy nationallicence Sigmoidoscopy nationallicence Fecal occult blood test nationallicence Nodora Jesse Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut Martz William University Physicians Healthcare, Tucson, AZ, USA aut Ashbeck Erin Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut Jacobs Elizabeth Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut Thompson Patricia Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut Martínez María Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut Cancer Causes & Control Springer Netherlands 22/9(2011-09-01), 1277-1287 0957-5243 22:9<1277 2011 22 10552 https://doi.org/10.1007/s10552-011-9801-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10552-011-9801-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nodora Jesse Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Martz William University Physicians Healthcare, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Ashbeck Erin Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Jacobs Elizabeth Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Thompson Patricia Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Martínez María Arizona Cancer Center, University of Arizona, PO Box 245024, 85724, Tucson, AZ, USA aut NATIONALLICENCE 773 0- Cancer Causes & Control Springer Netherlands 22/9(2011-09-01), 1277-1287 0957-5243 22:9<1277 2011 22 10552 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer