From: Perceptions of colorectal cancer screening and recommendation behaviors among physicians in Korea
Contents | FOBT* | Colonoscopy | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Primary care physicians | KASID§ physicians | P value | Primary care physicians | KASID§ physicians | P value | |||||
Totally agree | Totally disagree | Totally agree | Totally disagree | Totally agree | Totally disagree | Totally agree | Totally disagree | |||
PROS | ||||||||||
I am convinced that the test is effective in reducing mortality. | 7.3 | 35.2 | 8.1 | 18.9 | 0.022 | 65.2 | 2.4 | 45.3 | 1.9 | 0.004 |
The test is easily recommendable without considering its cost. | 47.4 | 10.8 | 35.4 | 8.5 | 0.011 | 8.8 | 16.1 | 2.3 | 3.9 | < .0001 |
Detection of colonic polyps through the test can prevent CRC¶. | 12.0 | 49.1 | 4.1 | 31.4 | < .0001 | 79.9 | 1.6 | 61.8 | 2.8 | 0.003 |
People feel less psychological and physical burden, because the test does not require preparation for the test | 46.4 | 6.3 | 23.0 | 3.9 | < .0001 | 1.6 | 47.2 | 0.0 | 31.6 | < .0001 |
CONS | ||||||||||
Due to a high false negative rate for the test, I feel pressure and responsibility for missing cases | 62.9 | 1.3 | 36.2 | 1.3 | < .0001 | 4.4 | 23.9 | 5.9 | 10.0 | 0.019 |
Due to a high false positive rate for the test, I am concerned about unnecessary testing and medical expenditures for additional tests | 13.9 | 20.1 | 13.7 | 7.5 | 0.018 | 1.8 | 36.2 | 4.7 | 25.2 | 0.033 |
The stool collection process is embarrassing and inconvenient | 13.5 | 16.4 | 16.7 | 4.2 | 0.016 | – | – | – | – | – |
Patients complain of inconvenience and pain caused by the procedure | – | – | – | – | 18.9 | 8.5 | 7.0 | 3.7 | 0.004 | |
I am concerned about serious complications caused by the test | 2.2 | 92.3 | 0.7 | 95.9 | 0.488 | 4.7 | 14.9 | 2.2 | 6.9 | < .0001 |
Decisional balance scores1), mean (SEξ) | 0.77 (0.34) | 0.80 (0.38) | 0.949 | 3.54 (0.31) | 3.13 (0.27) | 0.320 |