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The role of general practitioners in the follow-up of positive results from the Australian National Bowel Cancer Screening Program - a scoping review
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The role of general practitioners in the follow-up of positive results from the Australian National Bowel Cancer Screening Program - a scoping review

Jane Gaspar, Caroline Bulsara, Diane Arnold-Reed, Karen Taylor and Anne Williams
Australian journal of primary health, Vol.31(2)
2025
PMID: 40036142
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CC BY-NC-ND V4.0 Open Access

Abstract

Australia Colorectal Neoplasms - diagnosis Early Detection of Cancer - methods General Practitioners Humans Mass Screening - methods Occult Blood Physician's Role
Background: There are several studies investigating the effectiveness and participation rates of the Australian National Bowel Cancer Screening Program (NBCSP), but there is limited literature pertaining to the role and processes that general practitioners (GPs) follow after a positive immunochemical faecal occult blood test (iFOBT) result. The aim of this paper is to review evidence examining GP involvement in the follow-up of positive iFOBT results from the NBCSP and identify knowledge gaps. Methods: A scoping review was undertaken involving the search of the Cochrane Library, Informit, PubMed and Scopus electronic databases. Inclusion criteria were the follow-up processes and practices by GPs subsequent to notification of a positive iFOBT from this program. Searches were limited to English and publication was from January 2006 to January 2024. A combination of keywords was used and adapted to each search engines' requirements: general practitioner AND bowel cancer AND screening AND Australia. Results: Relevant sources of evidence were reviewed, and 24 records met inclusion criteria. Results are represented across three themes: (i) screening process and GP follow-up; (ii) follow-up rates and facilitation; and (iii) recommendations for improved follow-up. Conclusion: This scoping review provides insight into the central role GPs play in the implementation of the NBCSP and highlights the lack of information regarding steps taken and systems employed in general practice to manage positive iFOBTs.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.111 Liver & Colon Cancer
1.111.551 Colonoscopy
Web Of Science research areas
Health Care Sciences & Services
Health Policy & Services
Primary Health Care
Public, Environmental & Occupational Health
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Social Sciences, general
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