Shared Decision Making in GI Clinic to Improve Patient Adherence

This week I diagnosed an advanced colorectal cancer (CRC) in a 66-year-old patient who had a history of high-risk polyps and did not keep his colonoscopy appointment at the recommended 3-year interval. When I inquired why, he replied: “Well, if the last doctor had bothered to ask me, I would have told him that since my stroke, it's difficult to get to the bathroom; so I didn't think I could handle the prep without being in hospital; and since I...