How to increase colonoscopy attendance?

Aug 26, 2009

In view of low attendance rate for colonoscopy screening for colorectal cancer (CRC), it is necessary to establish effective intervention methods to increase colonoscopy compliance. Many studies have reported that subjective or objective barriers prevent high-risk subjects from undergoing colonoscopy examination, which indicates that barrier-focused intervention might be effective. However, such barrier-focused intervention has not been reported in China.

A research article to be published on August 21, 2009 in the World Journal of Gastroenterology addresses this question. The research team led by Prof. Zhang from Cancer Institute of Zhejiang University (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China) identified the main barriers to colonoscopy examination, and then established a multifaceted barrier-focused intervention program that targeted objective and subjective barriers.

The attendance rate for colonoscopy screening significantly increased during the intervention compared with the first 12 mo without intervention (23.04% vs 37.69%, P < 0.001), which indicates that barrier-focused intervention appears to be a feasible means to increase colonoscopy attendance among nonadherent high-risk populations for crc screening.

Logistic regression showed that the intervention was more effective for subjects with only objective barriers compared to those with subjective barriers. The intervention was also positively associated with first-degree relatives being diagnosed with CRC, personal history of intestinal polyps or positive results for immunochemical fecal occult blood testing.

This is believed to be the first study to establish a barrier-focused intervention program and evaluate its effects on colonoscopy attendance in nonadherent high-risk populations. This barrier-focused intervention might be a feasible way to improve colonoscopy compliance in CRC screening, and can be applied to other CRC screening regions in China.

More information: Meng W, Bi XW, Bai XY, Pan HF, Cai SR, Zhao Q, ZhangSZ. Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations. World J Gastroenterol 2009; 15(31): 3920-3925; www.wjgnet.com/1007-9327/15/3920.asp

Source: (news : web)

Explore further: Breast cancer treatments more effective now than in the past

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Survival differences seen for advanced-stage laryngeal cancer

11 hours ago

The five-year survival rate for advanced-stage laryngeal cancer was higher than national levels in a small study at a single academic center performing a high rate of surgical therapy, including a total laryngectomy (removal ...

Gene test aids cancer profile

21 hours ago

The first round of chemotherapy did little to suppress Ron Bose's leukemia. The second round, with 10 times the dose, knocked the proliferating blast cells down, but only by half.

Hospital volume not linked to costs of cancer surgery

Nov 26, 2014

(HealthDay)—Hospital surgical volume does not appear to correlate with Medicare payments for cancer surgery, according to research published online Nov. 24 in the Journal of Clinical Oncology.

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.