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Screening Patients with a Family History of Colorectal Cancer

OBJECTIVES: To compare screening practices and beliefs in patients with and without a clinically important family history. DESIGN: We mailed a brief questionnaire asking about family history and a second, longer survey asking about knowledge of and beliefs about colorectal cancer to all respondents...

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Detalles Bibliográficos
Autores principales: Fletcher, Robert H., Lobb, Rebecca, Bauer, Mark R., Kemp, James Alan, Palmer, Richard C., Kleinman, Ken P., Miroshnik, Irina, Emmons, Karen M.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1829437/
https://www.ncbi.nlm.nih.gov/pubmed/17372801
http://dx.doi.org/10.1007/s11606-007-0135-2
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author Fletcher, Robert H.
Lobb, Rebecca
Bauer, Mark R.
Kemp, James Alan
Palmer, Richard C.
Kleinman, Ken P.
Miroshnik, Irina
Emmons, Karen M.
author_facet Fletcher, Robert H.
Lobb, Rebecca
Bauer, Mark R.
Kemp, James Alan
Palmer, Richard C.
Kleinman, Ken P.
Miroshnik, Irina
Emmons, Karen M.
author_sort Fletcher, Robert H.
collection PubMed
description OBJECTIVES: To compare screening practices and beliefs in patients with and without a clinically important family history. DESIGN: We mailed a brief questionnaire asking about family history and a second, longer survey asking about knowledge of and beliefs about colorectal cancer to all respondents with a family history and a random sample of respondents without a family history of colorectal cancer. We reviewed electronic medical records for screening examinations and recording of family history. PARTICIPANTS: One thousand eight hundred seventy of 6,807 randomly selected patients ages 35–55 years who had been continuously enrolled in a large multispecialty group practice for at least 5 years. MEASUREMENTS: Recognition of increased risk, screening practices, and beliefs—all according to strength of family history and patient’s age. RESULTS: Nineteen percent of respondents reported a family history of colorectal cancer. In 11%, this history was strong enough to warrant screening before age 50 years. However, only 39% (95% CI 36, 42) of respondents under the age of 50 years said they had been asked about family history and only 45% of those with a strong family history of colorectal cancer had been screened appropriately. Forty-six percent of patients with a strong family history did not know that they should be screened at a younger age than average risk people. Medical records mentioned family history of colorectal cancer in 59% of patients reporting a family history. CONCLUSIONS: More efforts are needed to translate information about family history of colorectal cancer into the care of patients.
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spelling pubmed-18294372008-04-01 Screening Patients with a Family History of Colorectal Cancer Fletcher, Robert H. Lobb, Rebecca Bauer, Mark R. Kemp, James Alan Palmer, Richard C. Kleinman, Ken P. Miroshnik, Irina Emmons, Karen M. J Gen Intern Med Original Article OBJECTIVES: To compare screening practices and beliefs in patients with and without a clinically important family history. DESIGN: We mailed a brief questionnaire asking about family history and a second, longer survey asking about knowledge of and beliefs about colorectal cancer to all respondents with a family history and a random sample of respondents without a family history of colorectal cancer. We reviewed electronic medical records for screening examinations and recording of family history. PARTICIPANTS: One thousand eight hundred seventy of 6,807 randomly selected patients ages 35–55 years who had been continuously enrolled in a large multispecialty group practice for at least 5 years. MEASUREMENTS: Recognition of increased risk, screening practices, and beliefs—all according to strength of family history and patient’s age. RESULTS: Nineteen percent of respondents reported a family history of colorectal cancer. In 11%, this history was strong enough to warrant screening before age 50 years. However, only 39% (95% CI 36, 42) of respondents under the age of 50 years said they had been asked about family history and only 45% of those with a strong family history of colorectal cancer had been screened appropriately. Forty-six percent of patients with a strong family history did not know that they should be screened at a younger age than average risk people. Medical records mentioned family history of colorectal cancer in 59% of patients reporting a family history. CONCLUSIONS: More efforts are needed to translate information about family history of colorectal cancer into the care of patients. Springer-Verlag 2007-02-08 2007-04 /pmc/articles/PMC1829437/ /pubmed/17372801 http://dx.doi.org/10.1007/s11606-007-0135-2 Text en © Society of General Internal Medicine 2007
spellingShingle Original Article
Fletcher, Robert H.
Lobb, Rebecca
Bauer, Mark R.
Kemp, James Alan
Palmer, Richard C.
Kleinman, Ken P.
Miroshnik, Irina
Emmons, Karen M.
Screening Patients with a Family History of Colorectal Cancer
title Screening Patients with a Family History of Colorectal Cancer
title_full Screening Patients with a Family History of Colorectal Cancer
title_fullStr Screening Patients with a Family History of Colorectal Cancer
title_full_unstemmed Screening Patients with a Family History of Colorectal Cancer
title_short Screening Patients with a Family History of Colorectal Cancer
title_sort screening patients with a family history of colorectal cancer
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1829437/
https://www.ncbi.nlm.nih.gov/pubmed/17372801
http://dx.doi.org/10.1007/s11606-007-0135-2
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