Have we increased our efforts to identify strategies which encourage colorectal cancer screening in primary care patients? A review of research outputs over time
Natalie Dodd, Elise Mansfield, Mariko Carey, Christopher Oldmeadow and Rob Sanson-Fisher
Have we increased our efforts to identify strategies which encourage colorectal cancer screening in primary care patients - A review of research outputs over time680.75 kBDownloadView
Primary care Colorectal cancer Early detection of cancer Review Study design
Globally, colorectal cancer (CRC) screening rates remain suboptimal. Primary care practitioners are supported by clinical practice guidelines which recommend they provide routine CRC screening advice. Published research can provide evidence to improve CRC screening in primary care, however this is dependent on the type and quality of evidence being produced. This review aimed to provide a snapshot of trends in the type and design quality of research reporting CRC screening among primary care patients across three time points: 1993–1995, 2003–2005 and 2013–2015.
Four databases were searched using MeSH headings and keywords. Publications in peer-reviewed journals which reported primary data on CRC screening uptake among primary care patients were eligible for inclusion. Studies meeting eligibility criteria were coded as observational or intervention. Intervention studies were further coded to indicate whether or not they met Effective Practice and Organisation of Care (EPOC) study design criteria.
A total of 102 publications were included. Of these, 65 reported intervention studies and 37 reported observational studies. The proportion of each study type did not change significantly over time. The majority of intervention studies met EPOC design criteria at each time point.
The majority of research in this field has focused on testing strategies to increase CRC screening in primary care patients, as compared to research describing rates of CRC screening in this population. Further research is needed to determine which effective interventions are most likely to be adopted into primary care.
•There was more interventional than descriptive research.•The majority of interventional research used an EPOC-accepted study design.•Colorectal cancer screening rates remain low in many cases.•Research should focus on interventions likely to be adopted into routine practice.
Details
Title
Have we increased our efforts to identify strategies which encourage colorectal cancer screening in primary care patients? A review of research outputs over time
Authors
Natalie Dodd (Author) - University of Newcastle Australia
Elise Mansfield (Author) - University of Newcastle Australia
Mariko Carey (Author) - University of Newcastle Australia
Christopher Oldmeadow (Author) - Hunter Medical Research Institute
Rob Sanson-Fisher (Author) - Hunter Medical Research Institute
University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy; School of Health - Paramedicine
Language
English
Record Identifier
99603205202621
Output Type
Journal article
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Have we increased our efforts to identify strategies which encourage colorectal cancer screening in primary care patients - A review of research outputs over time