Table 4.
Among the 159 physicians who knew guideline recommendation for three 5–8 mm hyperplastic polyps, Cochrane Armitage Trend test of differences in predictors between gastroenterologists who follow the guidelines (n=147) vs. deviate from guidelines (n=11) in their clinical practice
| Attitude | Follow guideline N (%) | Deviate from guideline N (%) |
|---|---|---|
| Guidelines are a convenient source of advice (p=0.02) | ||
| Agree | 142 (97%) | 9 (82%) |
| Neutral | 4 (3%) | 0 (0%) |
| Disagree | 1 (1%) | 2 (18%) |
| Current clinical research justifies recommendations for post-polypectomy intervals (p=0.03) | ||
| Agree | 115 (78%) | 6 (55%) |
| Neutral | 24 (16%) | 1 (9%) |
| Disagree | 8 (5.4) | 4 (36%) |
| Colonoscopy guidelines increase the risk of a missed cancer diagnosis (p=0.008) | ||
| Agree | 13 (9%) | 4 (36%) |
| Neutral | 29 (20%) | 1 (9%) |
| Disagree | 103 (71%) | 6 (55%) |
| Colonoscopy guidelines do not apply to many of my patients (p=0.02) | ||
| Agree | 7 (5%) | 2 (18%) |
| Neutral | 9 (6%) | 4 (36%) |
| Disagree | 131 (89%) | 5 (45%) |
| There are benefits of repeat colonoscopy not captured in the guidelines (p=0.04) | ||
| Agree | 52 (35%) | 7 (64%) |
| Neutral | 44 (30%) | 2 (18%) |
| Disagree | 51 (35%) | 2 (18%) |
Among the 159 physicians, one subject did not respond to self-reported practice for scenario of three 5–8 mm hyperplastic polyps. Range of non-respondents to questions that assessed factors associated with guideline adherence were 1 to 3 gastroenterologists
All physicians who deviated from guidelines chose to survey at shorter intervals than guideline recommendations
Percentages are rounded to nearest whole number