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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, Anne Williams

Abstract

Objective: To review evidence examining general practitioner (GP) involvement in the follow-up of positive immunochemical faecal occult blood test (iFOBT) results from the Australian National Bowel Cancer Screening Program (NBCSP) and identify knowledge gaps. Introduction: There are several studies into the effectiveness and participation rates of the NBCSP, but limited literature pertaining to the role and processes of GPs following a positive iFOBT result. Methods: A scoping review was undertaken involving the search of Cochrane Library, Informit, PubMed, and Scopus electronic databases. Inclusion criteria: Follow-up processes and practices by GPs subsequent to notification of a positive iFOBT from this program. Searches were limited to English and publication from January 2006 to January 2024. A combination of keywords was used and adapted to each search engines’ requirements: general practitioner AND bowel cancer screening AND Australia. Results: 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.

PY24090  Accepted 10 February 2025

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