title: Survey on colorectal cancer screening knowledge, attitudes, and practices of general practice physicians in Lazio, Italy.
abstract: BACKGROUND
  Several international guidelines have recommended the involvement of general practitioners (GPs) in screening programs, but current evidence suggests this is very difficult. We implemented a survey to understand the attitudes, knowledge, and practices regarding colorectal cancer screening of GPs in the Lazio region.
  
  
  METHODS
  Survey of all GPs working in 13 of the 50 districts in Lazio using a mail-in questionnaire.
  
  
  RESULTS
  Out of 1192 GPs, 699 responded (59%). Ninety-four percent consider CRC a preventable disease. Knowledge about oncological screenings is higher in GPs using the guidelines as source of information. Twenty-five percent properly recommend the available screening tests for colorectal cancer, 22% do not recommend any, 6% under-recommend, and 47% over-recommend. Adequate knowledge of oncological screenings is positively associated with correct recommendation. Thirty-two percent of GPs recommend inappropriate follow-up tests for patients with positive fecal occult blood test.
  
  
  CONCLUSIONS
  The low response rate reveals the lack of GP's interest in screening. Knowledge about screening and use of guidelines as sources of scientific information are important factors to improve attitudes about screening, but there is a large percentage of well-informed GPs who do not recommend colorectal cancer screening at all. Currently, many GPs do not properly follow the patients up after a positive FOBT.
authors.affiliation: Agency for Public Health, Lazio Region, via di S. Costanza 53, 00198 Rome, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Federici
authors.forename: Paolo
authors.initials: P
authors.lastname: Giorgi Rossi
authors.forename: Francesco
authors.initials: F
authors.lastname: Bartolozzi
authors.forename: Sara
authors.initials: S
authors.lastname: Farchi
authors.forename: Piero
authors.initials: P
authors.lastname: Borgia
authors.forename: Gabriella
authors.initials: G
authors.lastname: Guasticchi
authors.forename: Gabriella
authors.initials: G
authors.lastname: Guastcchi
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D005194:Family Practice / Q000592:standards* / Q000639:trends; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007558:Italy; D008297:Male; D008403:Mass Screening / Q000379:methods*; D009780:Occult Blood; D010818:Practice Patterns, Physicians' / Q000592:standards* / Q000639:trends; D011787:Quality of Health Care; D012307:Risk Factors; D011795:Surveys and Questionnaires