@article{3121607,
    title = "Comparison of the Uptake of Screening Colonoscopy between Physicians and the General Population in Greece",
    author = "Viazis, N. and Tzouvala, M. and Theodoropoulou, A. and Giouleme, O. and Thomopoulos, K. and Christodoulou, D.K. and Michopoulos, S. and Soufleris, K. and Koutroubakis, I. and Karamanolis, G. and Papatheodoridis, G. and Giotis, I. and Paspatis, G. and Mantzaris, G.J.",
    journal = "Digestive Diseases",
    year = "2020",
    volume = "38",
    number = "1",
    pages = "23-30",
    publisher = "S Karger AG",
    issn = "0257-2753, 1421-9875",
    doi = "10.1159/000501266",
    keywords = "adult;  aged;  alcohol consumption;  Article;  cancer risk;  cancer screening;  colon cancer;  colonoscopy;  colorectal adenoma;  colorectal cancer;  colorectal carcinoma;  colorectal polyp;  comparative study;  dysplasia;  educational status;  female;  Greece;  high risk population;  human;  low risk population;  major clinical study;  male;  marriage;  patient compliance;  prevalence;  priority journal;  questionnaire;  risk factor;  adenoma;  colon polyp;  colorectal tumor;  mass screening;  middle aged;  pathology;  physician, Adenoma;  Aged;  Colonic Polyps;  Colonoscopy;  Colorectal Neoplasms;  Female;  Greece;  Humans;  Male;  Mass Screening;  Middle Aged;  Patient Compliance;  Physicians;  Prevalence",
    abstract = "Aim: To evaluate the uptake of screening colonoscopy among physicians as compared to the general population. Methods: Asymptomatic physicians, aged 45-67 years, at average risk for colorectal cancer (CRC), working in the participating National Health System hospitals were asked to complete a questionnaire regarding the uptake of screening colonoscopy. The results were compared to those in a background healthy population, aged 50-75 years, inhabitants of a Greek county, who were offered a free access to a screening colonoscopy program for CRC. High-risk adenomas were those ≥10 mm in diameter or any adenoma, regardless of size, with villous histology or high-grade dysplasia. Results: Overall, 267 of 782 physicians and 402 of 6,534 nonphysicians underwent a screening colonoscopy (uptake rates 34.2 and 6.2% respectively, p = 0.00001). Screening colonoscopy has yielded 4 adenocarcinomas (1.6%), 14 high-risk adenomas (5.5%), and 61 low-risk adenomas (25.7%) in the physicians' group. Corresponding figures in the nonphysician arm were 4 (1), 26 (6.5), and 107 (26.6%), respectively. The main reason among physicians for nonadherence was indifference/negligence (n = 213). Conclusion: The proportion of physicians undergoing screening colonoscopy for CRC is significantly higher compared to the general population; however, it does remain suboptimal. © 2019 S. Karger AG, Basel."
}