Characteristics of patients aged 50–74 years with a request for an immunochemical faecal occult blood test in the Australian general practice setting.
- Publisher:
- CSIRO Publishing
- Publication Type:
- Journal Article
- Citation:
- Australian Health Review, 2022, 46, (2), pp. 222-232
- Issue Date:
- 2022-04
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Filename | Description | Size | |||
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Characteristics_of_patients_ag.pdf | 984.04 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Pollack, A | |
dc.contributor.author | Busingye, D | |
dc.contributor.author | Thistlethwaite, J | |
dc.contributor.author | Blogg, S | |
dc.contributor.author | Chidwick, K | |
dc.date.accessioned | 2022-10-28T02:13:21Z | |
dc.date.available | 2021-10-11 | |
dc.date.available | 2022-10-28T02:13:21Z | |
dc.date.issued | 2022-04 | |
dc.identifier.citation | Australian Health Review, 2022, 46, (2), pp. 222-232 | |
dc.identifier.issn | 1449-8944 | |
dc.identifier.issn | 1449-8944 | |
dc.identifier.uri | http://hdl.handle.net/10453/162793 | |
dc.description.abstract | Objective To support improving participation in the National Bowel Cancer Screening Program (NBCSP), we aimed to identify Medicare-subsidised test requests for immunochemical faecal occult blood tests (FOBT) in Australian general practice for patients aged 50-74 years, eligible for the NBCSP, and describe sociodemographics, risk factors, indications and outcomes. Methods A cross-sectional study was conducted using de-identified data from 441 Australian general practice sites in the MedicineInsight database, recorded from 1 January 2018 to 31 December 2019. Results Of the 683 625 eligible patients, 45 771 (6.7%) had a record of a general practitioner (GP)-requested FOBT, either to aid diagnosis in symptomatic patients, or for screening; 144 986 (21.2%) patients had only an NBCSP FOBT. A diagnosis of polyps, gastrointestinal inflammatory condition or haemorrhoids, or a referral to a gastroenterologist or general surgeon, was more commonly recorded in the 6 months after a GP-requested FOBT than after an NBCSP FOBT. Uptake of NBCSP FOBTs was lower among those with obesity, high alcohol consumption and current smokers, who are at higher risk of bowel cancer. Conclusions This study describes the patient characteristics, reasons and outcomes associated with GP-requested FOBTs, identifies under-screened population sub-groups, and suggests involvement of GPs to improve participation in the NBCSP. | |
dc.format | ||
dc.language | eng | |
dc.publisher | CSIRO Publishing | |
dc.relation.ispartof | Australian Health Review | |
dc.relation.isbasedon | 10.1071/AH21129 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1110 Nursing, 1117 Public Health and Health Services, 1605 Policy and Administration | |
dc.subject.classification | Public Health | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Colorectal Neoplasms | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Family Practice | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Mass Screening | |
dc.subject.mesh | National Health Programs | |
dc.subject.mesh | Occult Blood | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Colorectal Neoplasms | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Family Practice | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Mass Screening | |
dc.subject.mesh | National Health Programs | |
dc.subject.mesh | Occult Blood | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Colorectal Neoplasms | |
dc.subject.mesh | Mass Screening | |
dc.subject.mesh | Occult Blood | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Family Practice | |
dc.subject.mesh | Aged | |
dc.subject.mesh | National Health Programs | |
dc.subject.mesh | Australia | |
dc.title | Characteristics of patients aged 50–74 years with a request for an immunochemical faecal occult blood test in the Australian general practice setting. | |
dc.type | Journal Article | |
utslib.citation.volume | 46 | |
utslib.location.activity | Australia | |
utslib.for | 1110 Nursing | |
utslib.for | 1117 Public Health and Health Services | |
utslib.for | 1605 Policy and Administration | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-10-28T02:13:19Z | |
pubs.issue | 2 | |
pubs.publication-status | Published | |
pubs.volume | 46 | |
utslib.citation.issue | 2 |
Abstract:
Objective To support improving participation in the National Bowel Cancer Screening Program (NBCSP), we aimed to identify Medicare-subsidised test requests for immunochemical faecal occult blood tests (FOBT) in Australian general practice for patients aged 50-74 years, eligible for the NBCSP, and describe sociodemographics, risk factors, indications and outcomes. Methods A cross-sectional study was conducted using de-identified data from 441 Australian general practice sites in the MedicineInsight database, recorded from 1 January 2018 to 31 December 2019. Results Of the 683 625 eligible patients, 45 771 (6.7%) had a record of a general practitioner (GP)-requested FOBT, either to aid diagnosis in symptomatic patients, or for screening; 144 986 (21.2%) patients had only an NBCSP FOBT. A diagnosis of polyps, gastrointestinal inflammatory condition or haemorrhoids, or a referral to a gastroenterologist or general surgeon, was more commonly recorded in the 6 months after a GP-requested FOBT than after an NBCSP FOBT. Uptake of NBCSP FOBTs was lower among those with obesity, high alcohol consumption and current smokers, who are at higher risk of bowel cancer. Conclusions This study describes the patient characteristics, reasons and outcomes associated with GP-requested FOBTs, identifies under-screened population sub-groups, and suggests involvement of GPs to improve participation in the NBCSP.
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