Comparison of compliance for colorectal cancer screening and surveillance by colonoscopy based on risk View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-08

AUTHORS

David P. Taylor, Lisa A. Cannon-Albright, Carol Sweeney, Marc S. Williams, Peter J. Haug, Joyce A. Mitchell, Randall W. Burt

ABSTRACT

PURPOSE: To compare colonoscopy screening/surveillance rates by level of risk for colorectal cancer based on age, personal history of adenomatous polyps or colorectal cancer, or family history of colorectal cancer. METHODS: Participants were aged 30-90 years, were seen within 5 years at Intermountain Healthcare, and had family history in the Utah Population Database. Colonoscopy rates were measured for those with/without risk factors. RESULTS: Among those aged 60-69 years, 48.4% had colonoscopy in the last 10 years, with rates declining after age 70 years. Percentages of those having had a colonoscopy in the last 10 years generally increased by risk level from 38.5% in those with a familial relative risk <1.0 to 47.6% in those with a familial relative risk >3.0. Compared with those with no family history, the odds ratio for being screened according to guidelines was higher for those with one first-degree relative diagnosed with colorectal cancer ≥ 60 years or two affected second-degree relatives (1.54, 95% confidence interval: 1.46-1.61) than those with one affected first-degree relative diagnosed <60 years or ≥2 affected first-degree relatives (1.25, 95% confidence interval: 1.14-1.37). CONCLUSIONS: Compliance with colonoscopy guidelines was higher for those with familial risk but did not correspond with the degree of risk. More... »

PAGES

737-743

Identifiers

URI

http://scigraph.springernature.com/pub.10.1097/gim.0b013e3182180c71

DOI

http://dx.doi.org/10.1097/gim.0b013e3182180c71

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025332419

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21555945


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