Comparison of the Uptake of Screening Colonoscopy between Physicians and the General Population in Greece
Aim: To evaluate the uptake of screening colonoscopy among physicians as compared to the general population. Methods: Asymptomatic physicians, aged 45–67 years, at average risk for colorectal cancer (CRC), working in the participating National Health System hospitals were asked to complete a questio...
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| Veröffentlicht in: | Digestive diseases (Basel) 2020-01, Vol.38 (1), p.23-30 |
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| creator | Viazis, Nikos Tzouvala, Maria Theodoropoulou, Angeliki Giouleme, Olga Thomopoulos, Kostas Christodoulou, Dimitrios K. Michopoulos, Spyros Soufleris, Konstantinos Koutroubakis, Ioannis Karamanolis, Georg Papatheodoridis, George Giotis, Ioannis Paspatis, Gregorios Mantzaris, Gerassimos J. |
| description | Aim: To evaluate the uptake of screening colonoscopy among physicians as compared to the general population. Methods: Asymptomatic physicians, aged 45–67 years, at average risk for colorectal cancer (CRC), working in the participating National Health System hospitals were asked to complete a questionnaire regarding the uptake of screening colonoscopy. The results were compared to those in a background healthy population, aged 50–75 years, inhabitants of a Greek county, who were offered a free access to a screening colonoscopy program for CRC. High-risk adenomas were those ≥10 mm in diameter or any adenoma, regardless of size, with villous histology or high-grade dysplasia. Results: Overall, 267 of 782 physicians and 402 of 6,534 nonphysicians underwent a screening colonoscopy (uptake rates 34.2 and 6.2% respectively, p = 0.00001). Screening colonoscopy has yielded 4 adenocarcinomas (1.6%), 14 high-risk adenomas (5.5%), and 61 low-risk adenomas (25.7%) in the physicians’ group. Corresponding figures in the nonphysician arm were 4 (1), 26 (6.5), and 107 (26.6%), respectively. The main reason among physicians for nonadherence was indifference/negligence (n = 213). Conclusion: The proportion of physicians undergoing screening colonoscopy for CRC is significantly higher compared to the general population; however, it does remain suboptimal. |
| doi_str_mv | 10.1159/000501266 |
| format | Article |
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Methods: Asymptomatic physicians, aged 45–67 years, at average risk for colorectal cancer (CRC), working in the participating National Health System hospitals were asked to complete a questionnaire regarding the uptake of screening colonoscopy. The results were compared to those in a background healthy population, aged 50–75 years, inhabitants of a Greek county, who were offered a free access to a screening colonoscopy program for CRC. High-risk adenomas were those ≥10 mm in diameter or any adenoma, regardless of size, with villous histology or high-grade dysplasia. Results: Overall, 267 of 782 physicians and 402 of 6,534 nonphysicians underwent a screening colonoscopy (uptake rates 34.2 and 6.2% respectively, p = 0.00001). Screening colonoscopy has yielded 4 adenocarcinomas (1.6%), 14 high-risk adenomas (5.5%), and 61 low-risk adenomas (25.7%) in the physicians’ group. Corresponding figures in the nonphysician arm were 4 (1), 26 (6.5), and 107 (26.6%), respectively. The main reason among physicians for nonadherence was indifference/negligence (n = 213). Conclusion: The proportion of physicians undergoing screening colonoscopy for CRC is significantly higher compared to the general population; however, it does remain suboptimal.</description><identifier>ISSN: 0257-2753</identifier><identifier>EISSN: 1421-9875</identifier><identifier>DOI: 10.1159/000501266</identifier><identifier>PMID: 31288225</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Adenoma - diagnosis ; Adenoma - epidemiology ; Aged ; Colonic Polyps - diagnosis ; Colonic Polyps - epidemiology ; Colonoscopy ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - pathology ; Female ; Greece ; Humans ; Male ; Mass Screening ; Middle Aged ; Patient Compliance ; Physicians ; Prevalence ; Small and Large Bowel: Research Article</subject><ispartof>Digestive diseases (Basel), 2020-01, Vol.38 (1), p.23-30</ispartof><rights>2019 S. Karger AG, Basel</rights><rights>2019 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-9694-1160</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31288225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Viazis, Nikos</creatorcontrib><creatorcontrib>Tzouvala, Maria</creatorcontrib><creatorcontrib>Theodoropoulou, Angeliki</creatorcontrib><creatorcontrib>Giouleme, Olga</creatorcontrib><creatorcontrib>Thomopoulos, Kostas</creatorcontrib><creatorcontrib>Christodoulou, Dimitrios K.</creatorcontrib><creatorcontrib>Michopoulos, Spyros</creatorcontrib><creatorcontrib>Soufleris, Konstantinos</creatorcontrib><creatorcontrib>Koutroubakis, Ioannis</creatorcontrib><creatorcontrib>Karamanolis, Georg</creatorcontrib><creatorcontrib>Papatheodoridis, George</creatorcontrib><creatorcontrib>Giotis, Ioannis</creatorcontrib><creatorcontrib>Paspatis, Gregorios</creatorcontrib><creatorcontrib>Mantzaris, Gerassimos J.</creatorcontrib><title>Comparison of the Uptake of Screening Colonoscopy between Physicians and the General Population in Greece</title><title>Digestive diseases (Basel)</title><addtitle>Dig Dis</addtitle><description>Aim: To evaluate the uptake of screening colonoscopy among physicians as compared to the general population. Methods: Asymptomatic physicians, aged 45–67 years, at average risk for colorectal cancer (CRC), working in the participating National Health System hospitals were asked to complete a questionnaire regarding the uptake of screening colonoscopy. The results were compared to those in a background healthy population, aged 50–75 years, inhabitants of a Greek county, who were offered a free access to a screening colonoscopy program for CRC. High-risk adenomas were those ≥10 mm in diameter or any adenoma, regardless of size, with villous histology or high-grade dysplasia. Results: Overall, 267 of 782 physicians and 402 of 6,534 nonphysicians underwent a screening colonoscopy (uptake rates 34.2 and 6.2% respectively, p = 0.00001). Screening colonoscopy has yielded 4 adenocarcinomas (1.6%), 14 high-risk adenomas (5.5%), and 61 low-risk adenomas (25.7%) in the physicians’ group. Corresponding figures in the nonphysician arm were 4 (1), 26 (6.5), and 107 (26.6%), respectively. The main reason among physicians for nonadherence was indifference/negligence (n = 213). Conclusion: The proportion of physicians undergoing screening colonoscopy for CRC is significantly higher compared to the general population; however, it does remain suboptimal.</description><subject>Adenoma - diagnosis</subject><subject>Adenoma - epidemiology</subject><subject>Aged</subject><subject>Colonic Polyps - diagnosis</subject><subject>Colonic Polyps - epidemiology</subject><subject>Colonoscopy</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Female</subject><subject>Greece</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Physicians</subject><subject>Prevalence</subject><subject>Small and Large Bowel: Research Article</subject><issn>0257-2753</issn><issn>1421-9875</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0EtLAzEUBeAgiq2PhXuRgBtdjOYxmcdSWq2FggV1PWQyNxo7TcZkivTfG23tylVI8t0D9yB0RskNpaK8JYQIQlmW7aEhTRlNyiIX-2hImMgTlgs-QEchfBAScZ4dogGnrCgYE0NkRm7ZSW-Cs9hp3L8Dfu16uYCf27PyANbYNzxyrbMuKNetcQ39V3zG8_d1MMpIG7C0ze_oBCx42eK561at7E0MNRZPYoqCE3SgZRvgdHseo9eH-5fRYzJ7mkxHd7NEsTLtEyVKXmqqclVIqZlMRSF1A1zXWmZlVtdNwSnoTMdlhBSgRJbloHjNlUibpubH6GqT23n3uYLQV0sTFLSttOBWoYprizTnKWGRXm-o8i4ED7rqvFlKv64oqX6arXbNRnuxjV3VS2h28q_KCM43YCH9G_gd2M1f_vs9Hk83ouoazb8BwK2JxA</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Viazis, Nikos</creator><creator>Tzouvala, Maria</creator><creator>Theodoropoulou, Angeliki</creator><creator>Giouleme, Olga</creator><creator>Thomopoulos, Kostas</creator><creator>Christodoulou, Dimitrios K.</creator><creator>Michopoulos, Spyros</creator><creator>Soufleris, Konstantinos</creator><creator>Koutroubakis, Ioannis</creator><creator>Karamanolis, Georg</creator><creator>Papatheodoridis, George</creator><creator>Giotis, Ioannis</creator><creator>Paspatis, Gregorios</creator><creator>Mantzaris, Gerassimos J.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9694-1160</orcidid></search><sort><creationdate>202001</creationdate><title>Comparison of the Uptake of Screening Colonoscopy between Physicians and the General Population in Greece</title><author>Viazis, Nikos ; Tzouvala, Maria ; Theodoropoulou, Angeliki ; Giouleme, Olga ; Thomopoulos, Kostas ; Christodoulou, Dimitrios K. ; Michopoulos, Spyros ; Soufleris, Konstantinos ; Koutroubakis, Ioannis ; Karamanolis, Georg ; Papatheodoridis, George ; Giotis, Ioannis ; Paspatis, Gregorios ; Mantzaris, Gerassimos J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c294t-c5939f1c7c8aaf2a458afde3fbfa696bbd831ef6f0155a5ec5667ec3b3c54ddb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adenoma - diagnosis</topic><topic>Adenoma - epidemiology</topic><topic>Aged</topic><topic>Colonic Polyps - diagnosis</topic><topic>Colonic Polyps - epidemiology</topic><topic>Colonoscopy</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Female</topic><topic>Greece</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Physicians</topic><topic>Prevalence</topic><topic>Small and Large Bowel: Research Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Viazis, Nikos</creatorcontrib><creatorcontrib>Tzouvala, Maria</creatorcontrib><creatorcontrib>Theodoropoulou, Angeliki</creatorcontrib><creatorcontrib>Giouleme, Olga</creatorcontrib><creatorcontrib>Thomopoulos, Kostas</creatorcontrib><creatorcontrib>Christodoulou, Dimitrios K.</creatorcontrib><creatorcontrib>Michopoulos, Spyros</creatorcontrib><creatorcontrib>Soufleris, Konstantinos</creatorcontrib><creatorcontrib>Koutroubakis, Ioannis</creatorcontrib><creatorcontrib>Karamanolis, Georg</creatorcontrib><creatorcontrib>Papatheodoridis, George</creatorcontrib><creatorcontrib>Giotis, Ioannis</creatorcontrib><creatorcontrib>Paspatis, Gregorios</creatorcontrib><creatorcontrib>Mantzaris, Gerassimos J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Viazis, Nikos</au><au>Tzouvala, Maria</au><au>Theodoropoulou, Angeliki</au><au>Giouleme, Olga</au><au>Thomopoulos, Kostas</au><au>Christodoulou, Dimitrios K.</au><au>Michopoulos, Spyros</au><au>Soufleris, Konstantinos</au><au>Koutroubakis, Ioannis</au><au>Karamanolis, Georg</au><au>Papatheodoridis, George</au><au>Giotis, Ioannis</au><au>Paspatis, Gregorios</au><au>Mantzaris, Gerassimos J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the Uptake of Screening Colonoscopy between Physicians and the General Population in Greece</atitle><jtitle>Digestive diseases (Basel)</jtitle><addtitle>Dig Dis</addtitle><date>2020-01</date><risdate>2020</risdate><volume>38</volume><issue>1</issue><spage>23</spage><epage>30</epage><pages>23-30</pages><issn>0257-2753</issn><eissn>1421-9875</eissn><abstract>Aim: To evaluate the uptake of screening colonoscopy among physicians as compared to the general population. Methods: Asymptomatic physicians, aged 45–67 years, at average risk for colorectal cancer (CRC), working in the participating National Health System hospitals were asked to complete a questionnaire regarding the uptake of screening colonoscopy. The results were compared to those in a background healthy population, aged 50–75 years, inhabitants of a Greek county, who were offered a free access to a screening colonoscopy program for CRC. High-risk adenomas were those ≥10 mm in diameter or any adenoma, regardless of size, with villous histology or high-grade dysplasia. Results: Overall, 267 of 782 physicians and 402 of 6,534 nonphysicians underwent a screening colonoscopy (uptake rates 34.2 and 6.2% respectively, p = 0.00001). Screening colonoscopy has yielded 4 adenocarcinomas (1.6%), 14 high-risk adenomas (5.5%), and 61 low-risk adenomas (25.7%) in the physicians’ group. Corresponding figures in the nonphysician arm were 4 (1), 26 (6.5), and 107 (26.6%), respectively. The main reason among physicians for nonadherence was indifference/negligence (n = 213). Conclusion: The proportion of physicians undergoing screening colonoscopy for CRC is significantly higher compared to the general population; however, it does remain suboptimal.</abstract><cop>Basel, Switzerland</cop><pmid>31288225</pmid><doi>10.1159/000501266</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9694-1160</orcidid></addata></record> |
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| ispartof | Digestive diseases (Basel), 2020-01, Vol.38 (1), p.23-30 |
| issn | 0257-2753 1421-9875 |
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| source | MEDLINE; Alma/SFX Local Collection; Karger E-Journals |
| subjects | Adenoma - diagnosis Adenoma - epidemiology Aged Colonic Polyps - diagnosis Colonic Polyps - epidemiology Colonoscopy Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Colorectal Neoplasms - pathology Female Greece Humans Male Mass Screening Middle Aged Patient Compliance Physicians Prevalence Small and Large Bowel: Research Article |
| title | Comparison of the Uptake of Screening Colonoscopy between Physicians and the General Population in Greece |
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