title: Influence of provider discussion and specific recommendation on colorectal cancer screening uptake among U.S. adults.
abstract: OBJECTIVE
  It is unclear if provider recommendations regarding colorectal cancer (CRC) screening modalities affect patient compliance. We evaluated provider-patient communications about CRC screening with and without a specific screening modality recommendation on patient compliance with screening guidelines.
  
  
  METHODS
  We used the 2007 Health Information National Trends Survey (HINTS) and identified 4283 respondents who were at least 50 years of age and answered questions about their communication with their care providers and CRC screening uptake. We defined being compliant with CRC screening as the use of fecal occult blood testing (FOBT) within 1 year, sigmoidoscopy within 5 years, or colonoscopy within 10 years. We used survey weights in all analyses.
  
  
  RESULTS
  CRC screening discussions occurred with 3320 (76.2%) respondents. Approximately 95% of these discussions were with physicians. Overall, 2793 (62.6%) respondents were current with CRC screening regardless of the screening modality. Discussion about screening (odds ratio (OR)=8.83; 95% confidence interval (CI): 7.20-10.84) and providers making a specific recommendation about screening modality rather than leaving it to the patient to decide (OR=2.04; 95% CI: 1.54-2.68) were associated with patient compliance with CRC screening guidelines.
  
  
  CONCLUSIONS
  Compliance with CRC screening guidelines is improved when providers discuss options and make specific screening test recommendations.
authors: Department of Medicine, Howard University College of Medicine, Washington, DC, USA; Biometry Research Group, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA. Electronic address: adeyinka.laiyemo@howard.edu.
authors: Adeyinka O
authors: AO
authors: Laiyemo
authors: Department of Medicine, Howard University College of Medicine, Washington, DC, USA.
authors: Akeem O
authors: AO
authors: Adebogun
authors: Department of Family Medicine and Community Health at the Perelman School of Medicine, Philadelphia, PA, USA; Leonard Davis Institute for Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; Center for Public Health Initiatives, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
authors: Chyke A
authors: CA
authors: Doubeni
authors: Cancer Research Center, Department of Biological Sciences, Hampton University, Hampton, VA, USA.
authors: Luisel
authors: L
authors: Ricks-Santi
authors: Department of Medicine, Howard University College of Medicine, Washington, DC, USA.
authors: Shelly
authors: S
authors: McDonald-Pinkett
authors: Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.
authors: Patrick E
authors: PE
authors: Young
authors: Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.
authors: Brooks D
authors: BD
authors: Cash
authors: Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
authors: Carrie N
authors: CN
authors: Klabunde
mesh_terms: D000368:Aged; D003113:Colonoscopy / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D017408:Guidelines as Topic; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009780:Occult Blood; D010349:Patient Compliance; D010817:Physician-Patient Relations; D012812:Sigmoidoscopy / Q000706:statistics & numerical data; D014481:United States
keywords: Colon cancer; Colonoscopy; HINTS; Screening; Sigmoidoscopy; Stool blood test