GPs' perspectives on colorectal cancer screening and their potential influence on FIT-positive patients : an exploratory qualitative study from a Dutch context
BACKGROUND: In the Dutch colorectal cancer (CRC) screening programme, individuals receive a faecal immunochemical test (FIT) to do at home. After a positive FIT result, a follow-up colonoscopy is recommended to identify CRC or advanced adenomas (AA). GPs may influence their patients' decisions on adherence to follow-up by colonoscopy.
AIM: To explore GPs' perspectives on the CRC screening programme and their potential influence on FIT-positive patients to follow up with the recommended colonoscopy.
DESIGN & SETTING: Semi-structured interviews among GPs in Amsterdam, the Netherlands.
METHOD: GPs were approached using purposive sampling. Analysis was performed on 11 interviews using open coding and constant comparison.
RESULTS: All interviewed GPs would recommend FIT-positive patients without obvious contraindications to adhere to a follow-up colonoscopy. If patients were likely to be distressed by a positive FIT result, most GPs described using reassurance strategies emphasising a low cancer probability. Most GPs stressed the probability of false-positive FIT results. Some described taking a positive screening result in CRC screening less seriously than one in breast cancer screening. Most GPs underestimated CRC and AA probabilities after a positive FIT result. When told the actual probabilities, some stated that this knowledge might change the way they would inform patients.
CONCLUSION: These results imply that some of the interviewed GPs have too low a perception of the risk associated with a positive FIT result, which might influence their patients' decision-making. Simply informing GPs about the actual rates of CRC and AA found in the screening programme might improve this risk perception.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:3 |
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| Enthalten in: |
BJGP open - 3(2019), 1 vom: 20. Apr., Seite bjgpopen18X101631 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bertels, Lucinda [VerfasserIn] |
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| Links: |
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| Themen: |
Colorectal Cancer Screening |
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| Anmerkungen: |
Date Revised 08.04.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.3399/bjgpopen18X101631 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM296689858 |
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| 100 | 1 | |a Bertels, Lucinda |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a GPs' perspectives on colorectal cancer screening and their potential influence on FIT-positive patients |b an exploratory qualitative study from a Dutch context |
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| 500 | |a Date Revised 08.04.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a BACKGROUND: In the Dutch colorectal cancer (CRC) screening programme, individuals receive a faecal immunochemical test (FIT) to do at home. After a positive FIT result, a follow-up colonoscopy is recommended to identify CRC or advanced adenomas (AA). GPs may influence their patients' decisions on adherence to follow-up by colonoscopy | ||
| 520 | |a AIM: To explore GPs' perspectives on the CRC screening programme and their potential influence on FIT-positive patients to follow up with the recommended colonoscopy | ||
| 520 | |a DESIGN & SETTING: Semi-structured interviews among GPs in Amsterdam, the Netherlands | ||
| 520 | |a METHOD: GPs were approached using purposive sampling. Analysis was performed on 11 interviews using open coding and constant comparison | ||
| 520 | |a RESULTS: All interviewed GPs would recommend FIT-positive patients without obvious contraindications to adhere to a follow-up colonoscopy. If patients were likely to be distressed by a positive FIT result, most GPs described using reassurance strategies emphasising a low cancer probability. Most GPs stressed the probability of false-positive FIT results. Some described taking a positive screening result in CRC screening less seriously than one in breast cancer screening. Most GPs underestimated CRC and AA probabilities after a positive FIT result. When told the actual probabilities, some stated that this knowledge might change the way they would inform patients | ||
| 520 | |a CONCLUSION: These results imply that some of the interviewed GPs have too low a perception of the risk associated with a positive FIT result, which might influence their patients' decision-making. Simply informing GPs about the actual rates of CRC and AA found in the screening programme might improve this risk perception | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Colorectal Cancer Screening | |
| 650 | 4 | |a Colorectal Neoplasms | |
| 650 | 4 | |a Early Detection of Cancer | |
| 650 | 4 | |a Family Practice | |
| 650 | 4 | |a Primary Health Care | |
| 650 | 4 | |a Qualitative Research | |
| 700 | 1 | |a van der Heijden, Sientje |e verfasserin |4 aut | |
| 700 | 1 | |a Hoogsteyns, Maartje |e verfasserin |4 aut | |
| 700 | 1 | |a Dekker, Evelien |e verfasserin |4 aut | |
| 700 | 1 | |a van Asselt, Kristel |e verfasserin |4 aut | |
| 700 | 1 | |a van Weert, Henk |e verfasserin |4 aut | |
| 700 | 1 | |a Knottnerus, Bart |e verfasserin |4 aut | |
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