Predictors of Poor Adherence of US Gastroenterologists with Colonoscopy Screening and Surveillance Guidelines

Heba Iskandar, Yan Yan, Jill Elwing, Dayna Early, Graham A. Colditz, Jean S. Wang

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The US Multi-Society Task Force on Colorectal Cancer published guidelines for colonoscopy screening and surveillance in 2008 and affirmed them in 2012. Characteristics associated with guideline adherence among US gastroenterologists have not been assessed. Aim: Assess awareness and adherence of US gastroenterologists with national guidelines for colonoscopy screening and surveillance and predictors of adherence to guidelines. Methods: A Web-based survey was administered to gastroenterologists in various practice settings across the USA. Results: A total of 306 gastroenterologists completed the survey; 86 % reported awareness of the guidelines. Low-volume colonoscopists (100/month). Those completing training before 1990 were less likely to report following guidelines (OR 0.37, p = 0.01). Adherence with guidelines was then assessed via clinical scenarios. Compared to physicians finishing training in 1991–2010, less adherence was seen in those finishing before 1990 (OR 0.75, p 

Original languageEnglish (US)
Pages (from-to)971-978
Number of pages8
JournalDigestive Diseases and Sciences
Volume60
Issue number4
DOIs
StatePublished - Apr 1 2015
Externally publishedYes

Keywords

  • Colonic neoplasms/diagnosis
  • Colonic neoplasms/prevention and control
  • Colonoscopy
  • Colorectal cancer screening
  • Colorectal cancer surveillance
  • Guideline adherence

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology

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