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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 ad...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Royal College of General Practitioners
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480863/ https://www.ncbi.nlm.nih.gov/pubmed/31049411 http://dx.doi.org/10.3399/bjgpopen18X101631 |
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author | Bertels, Lucinda van der Heijden, Sientje Hoogsteyns, Maartje Dekker, Evelien van Asselt, Kristel van Weert, Henk Knottnerus, Bart |
author_facet | Bertels, Lucinda van der Heijden, Sientje Hoogsteyns, Maartje Dekker, Evelien van Asselt, Kristel van Weert, Henk Knottnerus, Bart |
author_sort | Bertels, Lucinda |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6480863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-64808632019-05-02 GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context Bertels, Lucinda van der Heijden, Sientje Hoogsteyns, Maartje Dekker, Evelien van Asselt, Kristel van Weert, Henk Knottnerus, Bart BJGP Open Research 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. Royal College of General Practitioners 2019-03-20 /pmc/articles/PMC6480863/ /pubmed/31049411 http://dx.doi.org/10.3399/bjgpopen18X101631 Text en Copyright © The Authors https://creativecommons.org/licenses/by/4.0/ This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Research Bertels, Lucinda van der Heijden, Sientje Hoogsteyns, Maartje Dekker, Evelien van Asselt, Kristel van Weert, Henk Knottnerus, Bart GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context |
title | GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context |
title_full | GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context |
title_fullStr | GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context |
title_full_unstemmed | GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context |
title_short | GPs’ perspectives on colorectal cancer screening and their potential influence on FIT-positive patients: an exploratory qualitative study from a Dutch context |
title_sort | gps’ perspectives on colorectal cancer screening and their potential influence on fit-positive patients: an exploratory qualitative study from a dutch context |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480863/ https://www.ncbi.nlm.nih.gov/pubmed/31049411 http://dx.doi.org/10.3399/bjgpopen18X101631 |
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