Adherence to colonoscopy recommendations for first-degree relatives of young patients diagnosed with colorectal cancer
| Autor: | Guilherme Henrique Garcia, Rachel P. Riechelmann, Paulo M. Hoff |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Cross-sectional study Colorectal cancer Colonoscopy Statistics Nonparametric Young Adult Risk Factors Surveys and Questionnaires medicine Humans Mass Screening Family First-degree relatives Practice Patterns Physicians' Physician's Role Mass screening Early Detection of Cancer Colorectal Cancer lcsh:R5-920 medicine.diagnostic_test business.industry Cancer General Medicine Guideline Adenomatous Familiar Polyposis Clinical Science Middle Aged medicine.disease Lynch syndrome Surgery Cross-Sectional Studies Hereditary Non-Polyposis Colorectal Cancer Family medicine American College of Gastroenterology Guidelines Lynch Syndrome Practice Guidelines as Topic Colorectal Cancer Screening Guideline Adherence business lcsh:Medicine (General) Colorectal Neoplasms Brazil |
| Zdroj: | Clinics Clinics, Vol 70, Iss 10, Pp 696-699 (2015) Clinics; v. 70 n. 10 (2015); 696-699 Clinics; Vol. 70 Núm. 10 (2015); 696-699 Clinics; Vol. 70 No. 10 (2015); 696-699 Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 70, Issue: 10, Pages: 696-699, Published: OCT 2015 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | OBJECTIVES: Colorectal cancer is the third leading cause of cancer death in the United States. The American College of Gastroenterology recommends screening for first-degree relatives of patients diagnosed with colorectal cancer before the age of 50. A colonoscopy is one of the most commonly recommended exams due to its specificity and the possibility to resect pre-malignant lesions. Nevertheless, the rate of physician adherence to this recommendation is unknown. METHODS: This transversal study was performed at a major cancer center in Brazil with 62 patients, aged 18 to 50, who completed a questionnaire on information received from their physicians regarding screening their first-degree relatives. We used the answers from patients who provided explicit consent. RESULTS: Two hundred and three patients were eligible to participate and 93 (45.8%) agreed to complete the questionnaire. Twenty-three questionnaires (24.73%) were returned and 39 were completed by telephone. Of the patients who answered the questionnaire, 39 (62.9%) had received a colonoscopy recommendation for their first-degree relatives and 23 (37.1%) were not informed of the recommendation. Among the patients who received the recommendations, 20.51% affirmed that all relatives completed the exam and 51.28% stated that no relatives completed the exam. DISCUSSION: The adherence rate of our physicians to the ACG guideline recommendations was 62.9%. Considering that our study was performed at a leading center for cancer treatment in Latin America, we had expected better adherence. The results show that adherence to the colorectal cancer screening recommendations for high-risk patients must be improved. |
| Databáze: | OpenAIRE |
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