Many Physicians Using Inappropriate FOBT Methods

Home fecal occult blood tests recommended for cancer screening, but in-office tests common
By Monica Smith
HealthDay Reporter

THURSDAY, April 15 (HealthDay News) -- Many physicians who use the fecal occult blood test (FOBT) for colorectal cancer screening administer the test in-office rather than using home-based tests, which are recommended by national guidelines, according to research published online April 10 in the Journal of General Internal Medicine.

Marion R. Nadel, Ph.D., of the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues conducted a cross-sectional national survey of 1,134 primary care physicians who reported ordering or performing FOBTs in 2006 to 2007 to determine whether FOBT screening methods have improved since 1999 to 2000.

The researchers found that a minority -- 22 and 8.9 percent -- of physicians reported using higher sensitivity guaiac and immunochemical tests, respectively; most used standard guaiac tests. Although single-specimen, in-office testing is considered inappropriate for screening, 24.9 percent reported using only in-office tests, and 52.9 percent reported using both in-office and home tests. Follow-up recommendations after a positive test, however, improved, with only 17.8 percent of physicians recommending another FOBT after positive findings, and only 6.6 percent using tests other than colonoscopy for diagnostic work-up.

"Many physicians continue to use inappropriate methods to screen for fecal occult blood. Intensified efforts to inform physicians of recommended technique and promote the use of tracking systems are needed," the authors write.

Full Text

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events