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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...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2007
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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. |
format | Text |
id | pubmed-1829437 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
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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