Implementation of Screening Colonoscopy amongst First-Degree Relatives of Patients with Colorectal Cancer in Turkey: a Cross-Sectional Questionnaire Based Survey

Abstract

Objective: To evaluate the implementation of screening colonoscopy amongst first-degree relatives (FDRs) of patients with colorectal cancer (CRC) in Turkey. Materials and Methods: A total of 400 first-degree relatives (mean(SD)age: 42.5(12.7) years, 55.5% were male) of 136 CRC patients were included in this cross-sectional questionnaire based survey. Data on demographic characteristics, relationship to patient and family history for malignancy other than the index case were evaluated in the FDRs of patients as were the data on knowledge about and characteristics related to the implementation of screening colonoscopy using a standardized questionnaire form.

Knowledge Regarding Early Detection of Cancer among Romanian Women having Relatives with Cancer

“…The level of knowledge regarding both symptoms and methods for detection was lower among older women, among those living in rural areas and having lower educational level. These results are similar with studies from other developing countries investigating similar issues (Palmer et al, 2007;Kumar et al, 2011;Matejic et al, 2011;Radi, 2013;Adakan et al, 2014;Jo et al, 2014). At the same time, other studies from Romania also underlined the gap between different groups with respect to health related knowledge and health literacy among Romanian population based on residence and educational level (Stativa and Anghelescu, 2005; Center for Health Policies and Services, 2007;Eurobarometru, 2012).…”

Detection Rate of Colorectal Adenoma or Cancer in Unselected Colonoscopy Patients: Indonesian Experience in a Private Hospital

“…Just recently embarking on a universal health coverage health for the whole population, a "small percentage" of cancer occurring in a population this size would undoubtedly have catastrophic consequences, both for the government and for the citizen on a more personal level. However, the effort would be, to say the least, a very big challenge for governments and private institutions-as previous reports (Chong et al, 2013;Adakan et al, 2014) can attest-especially when screening is done among the elderly and people from the lower economic income groups. Another challenge will be to increase awareness on screening among physicians and government official's themselves (Kilickap et al, 2012;Chen et al, 2013).…”

“…Aside from the burden of screening, much has still to be done on colorectal cancer in Indonesia, among others regarding genetic polymorphism and susceptibility among the various ethnic populations of Indonesia in the model as reported in Saudi Arabi (Adakan et al, 2014) but at the end of the day, early detection is of the utmost importance and should be top priority.…”

Commentary on ‘Colonoscopy screening compliance and outcomes in patients with Lynch syndrome’

“…Colonoscopic screening in patients and families affected by Lynch syndrome plays a vital role in prevention and early detection of colorectal cancer which directly impacts survival . A worldwide effort has been under way to achieve this objective . Recent work by Newton et al .…”

“…Colonoscopic screening in patients and families affected by Lynch syndrome plays a vital role in prevention and early detection of colorectal cancer which directly impacts survival [8,9]. A worldwide effort has been under way to achieve this objective [10][11][12]. Recent work by Newton et al [13] has once again highlighted the importance of colonoscopic surveillance in preventing colorectal cancers in a mutation positive patient.…”