Screening Preferences of Patients at Familial Risk of Colorectal Cancer
| Autor: | Timothy Heeren, Patricia A. Robinson, Julie T. Glick, Paul C. Schroy |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Physiology Cross-sectional study Colorectal cancer Colonoscopy Gastroenterology Patient satisfaction Risk Factors Internal medicine Odds Ratio Prevalence medicine Humans Mass Screening Genetic Predisposition to Disease Family history Risk factor Aged medicine.diagnostic_test business.industry Odds ratio Middle Aged Hepatology medicine.disease Cross-Sectional Studies Massachusetts Patient Satisfaction Female Colorectal Neoplasms business |
| Zdroj: | Digestive Diseases and Sciences. 52:2788-2795 |
| ISSN: | 1573-2568 0163-2116 |
| DOI: | 10.1007/s10620-006-9670-7 |
| Popis: | Our primary objective was to assess the screening preferences of patients at familial risk of colorectal cancer. Asymptomatic subjects aged 18-75 with a single first-degree relative diagnosed with colorectal cancer (n = 48) or polyps (n = 52) were asked to identify a preferred screening strategy, test features influencing their choice, and level of interest in decision-making after reviewing a decision aid describing the pros and cons of currently recommended screening tests. Although both groups preferred colonoscopy, 40% of subjects with a family history of colorectal cancer and 48% of those with a family history of polyps preferred alternative strategies. Accuracy was the most commonly identified test feature influencing test preference. Most subjects (66%) felt that selection of screening test should be a patient dominant or shared process. We conclude that patients at familial risk of colorectal cancer have distinct screening preferences that often vary from current recommendations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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