Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention
Family history (FH) of a first-degree relative with colorectal cancer (CRC) is associated with two to fourfold increased risk, yet screening uptake is suboptimal despite proven mortality reduction. We developed a FH-based CRC Risk Triage/Management tool for family physicians (FPs), and educational b...
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ftpubmed:oai:pubmedcentral.nih.gov:7581973 2023-05-15T17:22:47+02:00 Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention Carroll, June C. Permaul, Joanne A. Semotiuk, Kara Yung, Eric M. Blaine, Sean Dicks, Elizabeth Warner, Ellen Rothenmund, Heidi Esplen, Mary Jane Moineddin, Rahim McLaughlin, John 2020-09-23 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7581973/ http://www.ncbi.nlm.nih.gov/pubmed/33117641 https://doi.org/10.1016/j.pmedr.2020.101189 en eng http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7581973/ http://www.ncbi.nlm.nih.gov/pubmed/33117641 http://dx.doi.org/10.1016/j.pmedr.2020.101189 © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). CC-BY-NC-ND Prev Med Rep Regular Article Text 2020 ftpubmed https://doi.org/10.1016/j.pmedr.2020.101189 2020-11-01T01:47:02Z Family history (FH) of a first-degree relative with colorectal cancer (CRC) is associated with two to fourfold increased risk, yet screening uptake is suboptimal despite proven mortality reduction. We developed a FH-based CRC Risk Triage/Management tool for family physicians (FPs), and educational booklet for patients with CRC FH. This report describes physician referral and patient screening behavior 5 and 10 years post-educational intervention, and factors associated with screening. Longitudinal cohort study. FPs/patients in Ontario and Newfoundland, Canada were sent questionnaires at baseline (2005), 5 and 10 years (2015) following tool/booklet receipt. FPs were asked about CRC screening, patients about FH, screening type and timing. “Correct” screening was concordance with tool recommendations. Results reported for 29/121 (24%) FPs and 98/297 (33%) patients who completed all 3 questionnaires. Over 10 years 2/3 patients received the correct CRC screening test at appropriate timing (baseline 75%, 5-year 62%, 10-year 65%). About half reported their FP recommended CRC screening (5-year 51%, 10-year 63%). Fewer than half the patients correctly assessed their CRC risk (44%, 40%, 41%). Patients were less likely to have correct screening timing if female (RR 0.78; 95% CI 0.61, 0.99; p = 0.045). Patients were less likely to have both correct test and timing if moderate/high CRC risk (RR 0.66; 95% CI 0.47, 0.93; p = 0.017) and more likely if their physician recommended screening (RR1.69; 95% CI 1.15, 2.49; p = 0.007). Physician discussion of CRC risk and screening can positively impact patient screening behavior. Efforts are particularly needed for women and patients at moderate/high CRC risk. Text Newfoundland PubMed Central (PMC) Canada Preventive Medicine Reports 20 101189 |
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Regular Article Carroll, June C. Permaul, Joanne A. Semotiuk, Kara Yung, Eric M. Blaine, Sean Dicks, Elizabeth Warner, Ellen Rothenmund, Heidi Esplen, Mary Jane Moineddin, Rahim McLaughlin, John Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention |
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Regular Article |
description |
Family history (FH) of a first-degree relative with colorectal cancer (CRC) is associated with two to fourfold increased risk, yet screening uptake is suboptimal despite proven mortality reduction. We developed a FH-based CRC Risk Triage/Management tool for family physicians (FPs), and educational booklet for patients with CRC FH. This report describes physician referral and patient screening behavior 5 and 10 years post-educational intervention, and factors associated with screening. Longitudinal cohort study. FPs/patients in Ontario and Newfoundland, Canada were sent questionnaires at baseline (2005), 5 and 10 years (2015) following tool/booklet receipt. FPs were asked about CRC screening, patients about FH, screening type and timing. “Correct” screening was concordance with tool recommendations. Results reported for 29/121 (24%) FPs and 98/297 (33%) patients who completed all 3 questionnaires. Over 10 years 2/3 patients received the correct CRC screening test at appropriate timing (baseline 75%, 5-year 62%, 10-year 65%). About half reported their FP recommended CRC screening (5-year 51%, 10-year 63%). Fewer than half the patients correctly assessed their CRC risk (44%, 40%, 41%). Patients were less likely to have correct screening timing if female (RR 0.78; 95% CI 0.61, 0.99; p = 0.045). Patients were less likely to have both correct test and timing if moderate/high CRC risk (RR 0.66; 95% CI 0.47, 0.93; p = 0.017) and more likely if their physician recommended screening (RR1.69; 95% CI 1.15, 2.49; p = 0.007). Physician discussion of CRC risk and screening can positively impact patient screening behavior. Efforts are particularly needed for women and patients at moderate/high CRC risk. |
format |
Text |
author |
Carroll, June C. Permaul, Joanne A. Semotiuk, Kara Yung, Eric M. Blaine, Sean Dicks, Elizabeth Warner, Ellen Rothenmund, Heidi Esplen, Mary Jane Moineddin, Rahim McLaughlin, John |
author_facet |
Carroll, June C. Permaul, Joanne A. Semotiuk, Kara Yung, Eric M. Blaine, Sean Dicks, Elizabeth Warner, Ellen Rothenmund, Heidi Esplen, Mary Jane Moineddin, Rahim McLaughlin, John |
author_sort |
Carroll, June C. |
title |
Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention |
title_short |
Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention |
title_full |
Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention |
title_fullStr |
Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention |
title_full_unstemmed |
Hereditary colorectal cancer screening: A 10-year longitudinal cohort study following an educational intervention |
title_sort |
hereditary colorectal cancer screening: a 10-year longitudinal cohort study following an educational intervention |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7581973/ http://www.ncbi.nlm.nih.gov/pubmed/33117641 https://doi.org/10.1016/j.pmedr.2020.101189 |
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Canada |
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Canada |
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Newfoundland |
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Newfoundland |
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Prev Med Rep |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7581973/ http://www.ncbi.nlm.nih.gov/pubmed/33117641 http://dx.doi.org/10.1016/j.pmedr.2020.101189 |
op_rights |
© 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
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CC-BY-NC-ND |
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https://doi.org/10.1016/j.pmedr.2020.101189 |
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Preventive Medicine Reports |
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20 |
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101189 |
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