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Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives

BACKGROUND: Several guidelines recommend initiating colorectal cancer screening at age 40 for individuals with affected first-degree relatives, yet little evidence exists describing how often these individuals receive screening procedures. OBJECTIVES: To determine the proportion of individuals in wh...

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Detalles Bibliográficos
Autores principales: Murff, Harvey J., Peterson, Neeraja B., Greevy, Robert A., Shrubsole, Martha J., Zheng, Wei
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1824778/
https://www.ncbi.nlm.nih.gov/pubmed/17351851
http://dx.doi.org/10.1007/s11606-007-0115-6
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author Murff, Harvey J.
Peterson, Neeraja B.
Greevy, Robert A.
Shrubsole, Martha J.
Zheng, Wei
author_facet Murff, Harvey J.
Peterson, Neeraja B.
Greevy, Robert A.
Shrubsole, Martha J.
Zheng, Wei
author_sort Murff, Harvey J.
collection PubMed
description BACKGROUND: Several guidelines recommend initiating colorectal cancer screening at age 40 for individuals with affected first-degree relatives, yet little evidence exists describing how often these individuals receive screening procedures. OBJECTIVES: To determine the proportion of individuals in whom early initiation of colorectal cancer screening might be indicated and whether screening disparities exist. DESIGN: Population-based Supplemental Cancer Control Module to the 2000 National Health Interview Survey. PARTICIPANTS: Respondents, 5,564, aged 40 to 49 years were included within the analysis. MEASUREMENTS: Patient self-report of sigmoidoscopy, colonoscopy, or fecal occult blood test. RESULTS: Overall, 279 respondents (5.4%: 95% C.I., 4.7, 6.2) reported having a first-degree relative affected with colorectal cancer. For individuals with a positive family history, 67 whites (27.9%: 95% C.I., 21.1, 34.5) and 3 African American (9.3%: 95% C.I., 1.7, 37.9) had undergone an endoscopic procedure within the previous 10 years (P-value = .03). After adjusting for age, family history, gender, educational level, insurance status, and usual source of care, whites were more likely to be current with early initiation endoscopic screening recommendations than African Americans (OR = 1.38: 95% C.I., 1.01, 1.87). Having an affected first-degree relative with colorectal cancer appeared to have a stronger impact on endoscopic screening for whites (OR = 3.21: 95% C.I., 2.31, 4.46) than for African Americans (OR = 1.05: 95% C.I., 0.15, 7.21). CONCLUSIONS: White participants with a family history are more likely to have endoscopic procedures beginning before age 50 than African Americans.
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spelling pubmed-18247782007-03-16 Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives Murff, Harvey J. Peterson, Neeraja B. Greevy, Robert A. Shrubsole, Martha J. Zheng, Wei J Gen Intern Med Populations at Risk BACKGROUND: Several guidelines recommend initiating colorectal cancer screening at age 40 for individuals with affected first-degree relatives, yet little evidence exists describing how often these individuals receive screening procedures. OBJECTIVES: To determine the proportion of individuals in whom early initiation of colorectal cancer screening might be indicated and whether screening disparities exist. DESIGN: Population-based Supplemental Cancer Control Module to the 2000 National Health Interview Survey. PARTICIPANTS: Respondents, 5,564, aged 40 to 49 years were included within the analysis. MEASUREMENTS: Patient self-report of sigmoidoscopy, colonoscopy, or fecal occult blood test. RESULTS: Overall, 279 respondents (5.4%: 95% C.I., 4.7, 6.2) reported having a first-degree relative affected with colorectal cancer. For individuals with a positive family history, 67 whites (27.9%: 95% C.I., 21.1, 34.5) and 3 African American (9.3%: 95% C.I., 1.7, 37.9) had undergone an endoscopic procedure within the previous 10 years (P-value = .03). After adjusting for age, family history, gender, educational level, insurance status, and usual source of care, whites were more likely to be current with early initiation endoscopic screening recommendations than African Americans (OR = 1.38: 95% C.I., 1.01, 1.87). Having an affected first-degree relative with colorectal cancer appeared to have a stronger impact on endoscopic screening for whites (OR = 3.21: 95% C.I., 2.31, 4.46) than for African Americans (OR = 1.05: 95% C.I., 0.15, 7.21). CONCLUSIONS: White participants with a family history are more likely to have endoscopic procedures beginning before age 50 than African Americans. Springer-Verlag 2007-01-09 2007-01 /pmc/articles/PMC1824778/ /pubmed/17351851 http://dx.doi.org/10.1007/s11606-007-0115-6 Text en © Society of General Internal Medicine 2007
spellingShingle Populations at Risk
Murff, Harvey J.
Peterson, Neeraja B.
Greevy, Robert A.
Shrubsole, Martha J.
Zheng, Wei
Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives
title Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives
title_full Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives
title_fullStr Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives
title_full_unstemmed Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives
title_short Early Initiation of Colorectal Cancer Screening in Individuals with Affected First-degree Relatives
title_sort early initiation of colorectal cancer screening in individuals with affected first-degree relatives
topic Populations at Risk
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1824778/
https://www.ncbi.nlm.nih.gov/pubmed/17351851
http://dx.doi.org/10.1007/s11606-007-0115-6
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