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Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age

Background. One-fifth of people who develop colorectal cancer (CRC) have a first-degree relative (FDR) also affected. There is a large disparity in guidelines for screening of relatives of patients with CRC. Herein we address awareness and uptake of family screening amongst patients diagnosed with C...

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Autores principales: Hogan, Niamh M., Hanley, Marion, Hogan, Aisling M., Sheehan, Margaret, McAnena, Oliver J., Regan, Mark P., Kerin, Michael J., Joyce, Myles R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320884/
https://www.ncbi.nlm.nih.gov/pubmed/25688262
http://dx.doi.org/10.1155/2015/194931
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author Hogan, Niamh M.
Hanley, Marion
Hogan, Aisling M.
Sheehan, Margaret
McAnena, Oliver J.
Regan, Mark P.
Kerin, Michael J.
Joyce, Myles R.
author_facet Hogan, Niamh M.
Hanley, Marion
Hogan, Aisling M.
Sheehan, Margaret
McAnena, Oliver J.
Regan, Mark P.
Kerin, Michael J.
Joyce, Myles R.
author_sort Hogan, Niamh M.
collection PubMed
description Background. One-fifth of people who develop colorectal cancer (CRC) have a first-degree relative (FDR) also affected. There is a large disparity in guidelines for screening of relatives of patients with CRC. Herein we address awareness and uptake of family screening amongst patients diagnosed with CRC under age 60 and compare guidelines for screening. Study Design. Patients under age 60 who received surgical management for CRC between June 2009 and May 2012 were identified using pathology records and theatre logbooks. A telephone questionnaire was carried out to investigate family history and screening uptake among FDRs. Results. Of 317 patients surgically managed for CRC over the study period, 65 were under age 60 at diagnosis (8 deceased). The mean age was 51 (30–59). 66% had node positive disease. 25% had a family history of colorectal cancer in a FDR. While American and Canadian guidelines identified 100% of these patients as requiring screening, British guidelines advocated screening for only 40%. Of 324 FDRs, only 40.9% had been screened as a result of patient's diagnosis. Conclusions. Uptake of screening in FDRs of young patients with CRC is low. Increased education and uniformity of guidelines may improve screening uptake in this high-risk population.
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spelling pubmed-43208842015-02-16 Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age Hogan, Niamh M. Hanley, Marion Hogan, Aisling M. Sheehan, Margaret McAnena, Oliver J. Regan, Mark P. Kerin, Michael J. Joyce, Myles R. Gastroenterol Res Pract Research Article Background. One-fifth of people who develop colorectal cancer (CRC) have a first-degree relative (FDR) also affected. There is a large disparity in guidelines for screening of relatives of patients with CRC. Herein we address awareness and uptake of family screening amongst patients diagnosed with CRC under age 60 and compare guidelines for screening. Study Design. Patients under age 60 who received surgical management for CRC between June 2009 and May 2012 were identified using pathology records and theatre logbooks. A telephone questionnaire was carried out to investigate family history and screening uptake among FDRs. Results. Of 317 patients surgically managed for CRC over the study period, 65 were under age 60 at diagnosis (8 deceased). The mean age was 51 (30–59). 66% had node positive disease. 25% had a family history of colorectal cancer in a FDR. While American and Canadian guidelines identified 100% of these patients as requiring screening, British guidelines advocated screening for only 40%. Of 324 FDRs, only 40.9% had been screened as a result of patient's diagnosis. Conclusions. Uptake of screening in FDRs of young patients with CRC is low. Increased education and uniformity of guidelines may improve screening uptake in this high-risk population. Hindawi Publishing Corporation 2015 2015-01-22 /pmc/articles/PMC4320884/ /pubmed/25688262 http://dx.doi.org/10.1155/2015/194931 Text en Copyright © 2015 Niamh M. Hogan et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hogan, Niamh M.
Hanley, Marion
Hogan, Aisling M.
Sheehan, Margaret
McAnena, Oliver J.
Regan, Mark P.
Kerin, Michael J.
Joyce, Myles R.
Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age
title Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age
title_full Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age
title_fullStr Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age
title_full_unstemmed Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age
title_short Awareness and Uptake of Family Screening in Patients Diagnosed with Colorectal Cancer at a Young Age
title_sort awareness and uptake of family screening in patients diagnosed with colorectal cancer at a young age
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320884/
https://www.ncbi.nlm.nih.gov/pubmed/25688262
http://dx.doi.org/10.1155/2015/194931
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