Colonoscopy is the preferred colorectal cancer screening method in a population-based program
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Le résumé fourni par la source
BACKGROUND AND STUDY AIMS: Various screening methods for colorectal cancer (CRC) are promoted by professional societies; however, few data are available about the factors that determine patient participation in screening, which is crucial to the success of population-based programs. This study aimed (i) to identify factors that determine acceptance of screening and preference of screening method, and (ii) to evaluate procedure success, detection of colorectal neoplasia, and patient satisfaction with screening colonoscopy. PATIENTS AND METHODS: Following a public awareness campaign, the population aged 50 - 80 years was offered CRC screening in the form of annual fecal occult blood tests, flexible sigmoidoscopy, a combination of both, or colonoscopy. RESULTS: 2731 asymptomatic persons (12.0 % of the target population) registered with and were eligible to take part in the screening program. Access to information and a positive attitude to screening were major determinants of participation. Colonoscopy was the method preferred by 74.8 % of participants. Advanced colorectal neoplasia was present in 8.5 %; its prevalence was higher in males and increased with age. Significant complications occurred in 0.5 % of those undergoing colonoscopy and were associated with polypectomy or sedation. Most patients were satisfied with colonoscopy and over 90 % would choose it again for CRC screening. CONCLUSIONS: In this population-based study, only a small proportion of the target population underwent CRC screening despite an extensive information campaign. Colonoscopy was the preferred method and was safe. The determinants of participation in screening and preference of screening method, together with the distribution of colorectal neoplasia in different demographic categories, provide a rationale for improving screening procedures.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Colonoscopy is the preferred colorectal cancer screening method in a population-based program
- Date Crossref
- 07/07/2008
- Éditeur
- Georg Thieme Verlag KG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University Hospital Zurich pays non établi dans la noticeÉtablissement de santé
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Centre Hospitalier Universitaire Vaudois pays non établi dans la noticeÉtablissement de santé
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University of Lausanne pays non établi dans la noticeUniversité ou école supérieure
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District Hospital of Uri Department of Medicine pays non établi dans la noticeÉtablissement de santé
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University Hospital of Zürich Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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District Hospital of Glarus Department of Medicine pays non établi dans la noticeÉtablissement de santé
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University Hospital of Lausanne Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Medical Office pays non établi dans la noticeInstitution
University Hospital Zurich, Centre Hospitalier Universitaire Vaudois et University of Lausanne, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.