Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
June 11, 2026PLoS ONEOpen Access

Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial

View Full Paper
Ask AI
Bookmark
Share

Authors

TSTamara ScharfYMYonas MartinMJMarc-Andrea Janggen

Discussion

Loading...

Member takes

Overview

Randomized trial evaluates a training program's impact on colorectal cancer screening decisions in primary care, suggesting improved outcomes.

Key Points

  • To assess the impact of a training program on promoting shared decision-making in colorectal cancer (CRC) screening among primary care physicians (PCP).
  • Cluster randomized controlled trial with 110 PCPs randomized 1:1 into intervention or control groups.
  • Intervention group received decision aids and feedback, while the control group received no materials.
  • PCP documented screening decisions of 40 patients (ages 50–75) four months post-intervention.
  • 84% of intervention group PCPs had at least one patient tested or planning FOBT compared to 56% in control (unadjusted RR: 1.52; 95% CI: 1.13 to 2.04).
  • In sensitivity analysis, 72% of 29 intervention PCPs met the primary outcome at baseline vs. 49% of 33 control PCPs (RR: 1.49; 95% CI: 0.98 to 2.28).
  • No significant increase in the proportion of PCPs meeting the primary outcome between intervention and control groups from 2017 to 2018.

Cite This Study

Scharf et al. (2026) studied this question.

synapsesocial.com/papers/6a2a520a80c8f91e7f39e229https://doi.org/10.1371/journal.pone.0351069
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Shared Decision Making: A Model for Clinical Practice2012 · 4,470 citations
  2. 2Change in colorectal cancer (CRC) testing rates associated with the introduction of the first organized screening program in canton Uri, Switzerland: Evidence from insurance claims data analyses from 2010 to 20182022 · 5 citations
  3. 3Offering patients a choice for colorectal cancer screening: a quality improvement pilot study in a quality circle of primary care physicians2019 · 10 citations
  4. 4Screening for Colorectal Cancer2021 · 597 citations