scholarly journals Colonoscopy Findings in Patients Who Have Positive Fecal Occult Blood Test for Colorectal Cancer Screening

2018 ◽  
Vol 28 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Burhan Mayir ◽  
Cemal Özben Ensari ◽  
Abdullah Durhan ◽  
Yaşar Çöpelci
2020 ◽  
pp. 096914132091915 ◽  
Author(s):  
Ora Paltiel ◽  
Aravah Keidar Tirosh ◽  
Orit Paz Stostky ◽  
Ronit Calderon-Margalit ◽  
Arnon D Cohen ◽  
...  

Objectives To assess time trends in colorectal cancer screening uptake, time-to-colonoscopy completion following a positive fecal occult blood test and associated patient factors, and the extent and predictors of longitudinal screening adherence in Israel. Setting Nation-wide population-based study using data collected from four health maintenance organizations for the Quality Indicators in Community Healthcare Program. Methods Screening uptake for the eligible population (aged 50–74) was recorded 2003–2018 using aggregate data. For a subcohort (2008–2012, N = 1,342,617), time-to-colonoscopy following a positive fecal occult blood test and longitudinal adherence to screening guidelines were measured using individual-level data, and associated factors assessed in multivariate models. Results The annual proportion screened rose for both sexes from 11 to 65%, increasing five-fold for age group 60–74 and >six-fold for 50–59 year olds, respectively. From 2008 to 2012, 67,314 adults had a positive fecal occult blood test, of whom 71% eventually performed a colonoscopy after a median interval of 122 (95% confidence interval 110.2–113.7) days. Factors associated with time-to-colonoscopy included age, socioeconomic status, and comorbidities. Only 25.5% of the population demonstrated full longitudinal screening adherence, mainly attributable to colonoscopy in the past 10 years rather than annual fecal occult blood test performance (83% versus 17%, respectively). Smoking, diabetes, lower socioeconomic status, cardiovascular disease, and hypertension were associated with decreased adherence. Performance of other cancer screening tests and frequent primary care visits were strongly associated with adherence. Conclusions Despite substantial improvement in colorectal cancer screening uptake on a population level, individual-level data uncovered gaps in colonoscopy completion after a positive fecal occult blood test and in longitudinal adherence to screening, which should be addressed using focused interventions.


2017 ◽  
Vol 152 (5) ◽  
pp. S546-S547
Author(s):  
Erin L. Symonds ◽  
Charles Cock ◽  
Rosie Meng ◽  
Stephen R. Cole ◽  
Robert J. Fraser ◽  
...  

2008 ◽  
Vol 134 (4) ◽  
pp. A-480-A-481
Author(s):  
Marta Carrillo-Palau ◽  
Manuel Hernández-Guerra ◽  
Antonio Z. Gimeno-García ◽  
Nicolás González ◽  
Adolfo Parra-Blanco ◽  
...  

2007 ◽  
Vol 21 (7) ◽  
pp. 435-438 ◽  
Author(s):  
Maida J Sewitch ◽  
Caroline Fournier ◽  
Martin Dawes ◽  
Mark Yaffe ◽  
Linda Snell ◽  
...  

Colorectal cancer screening is underutilized, resulting in preventable morbidity and mortality. In the present study, age-related and other disparities associated with physicians’ delivery of colorectal cancer screening recommendations were examined. The present cross-sectional study included 43 physicians and 618 of their patients, aged 50 to 80 years, without past or present colorectal cancer. Of the 285 screen-eligible patients, 45% received a recommendation. Multivariate analyses revealed that, compared with younger nonde-pressed patients, older depressed patients were less likely to receive fecal occult blood test recommendations, compared with no recommendation (OR=0.31, 95% CI 0.09 to 1.02), as well as less likely to receive colonoscopy recommendations, compared with no recommendation (OR=0.14; 95% CI 0.03 to 0.66). Comorbidity and marital status were associated with delivery of fecal occult blood test and colonoscopy recommendations, respectively, compared with no recommendation. In summary, patient age and other characteristics appeared to influence physicians’ delivery of colorectal cancer screening and choice of modality.


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