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Failure to Perform Colonoscopy after a Positive Colorectal Cancer Screening Test: A Qualitative Study

Par : Type de matériel : TexteTexteLangue : français Détails de publication : 2008. Sujet(s) : Ressources en ligne : Abrégé : This qualitative study examines the motivations of people who showed a positive result as part of a colorectal cancer screening program but who did not follow it up with further recommended tests. Good medical practice requires a colonoscopy subsequent to a positive Hemoccult test. Twelve semi-structured interviews were conducted. The quality of the doctor-patient relationship strongly influences the acceptance of having a colonoscopy. These data highlight the necessary capacity of the doctor to convey a rational message while also taking into account the emotional turmoil caused by the uncertainty and worry linked to receiving a first positive result in a cancer screening test. Working with the medical profession to advocate systematic colonoscopy as an essential follow-up to a positive Hemoccult test is critical. Although for many of these doctors, conducting the Hemoccult test is regarded as the screening standard, in their view, a subsequent colonoscopy is not currently part of this norm. Recommendations are proposed, aiming to improve the acceptance of organized screening for the population.
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This qualitative study examines the motivations of people who showed a positive result as part of a colorectal cancer screening program but who did not follow it up with further recommended tests. Good medical practice requires a colonoscopy subsequent to a positive Hemoccult test. Twelve semi-structured interviews were conducted. The quality of the doctor-patient relationship strongly influences the acceptance of having a colonoscopy. These data highlight the necessary capacity of the doctor to convey a rational message while also taking into account the emotional turmoil caused by the uncertainty and worry linked to receiving a first positive result in a cancer screening test. Working with the medical profession to advocate systematic colonoscopy as an essential follow-up to a positive Hemoccult test is critical. Although for many of these doctors, conducting the Hemoccult test is regarded as the screening standard, in their view, a subsequent colonoscopy is not currently part of this norm. Recommendations are proposed, aiming to improve the acceptance of organized screening for the population.

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