Colorectal Cancer Screening at Familial Risk

german translation / full article

Natalie Gründl, Andrea Siebenhofer, Corina Guethlin, Jasper Plath

Keywords: attitudes colorectal cancer familial risk

Background: Familial clustering of colorectal cancer (CRC) is associated with a higher risk of the disease even if no underlying hereditary syndrome exists. In such cases, the first screening colonoscopy is recommended at an age of 40–45 years. The aim of this study was to analyze the attitudes to colorectal cancer screening in 40– to 54-year-old family practice patients with a family history of CRC (first-degree relatives with CRC). Methods: We analysed data from the cross-sectional study “FRIDA.Frankfurt” and interviewed 191 (39.5 %) out of 484 identified patients aged 40 to 54 about their attitudes to CRC screening.Results: Following a consultation with their family physician, 96.7 % (n = 175) of patients had a positive attitude towards bowel cancer screening. There was little difference between male and female participants and between the different age groups. 136 (76.4 %) participants said they would later regret not undergoing bowel cancer screening. This assessment was less common in the 40–44 age group than the 50–54 group (64.7 % vs. 81.7 %).Conclusions: Patients with a family history of CRC had a positive attitude towards participation in screening, and the majority would regret not undergoing the examination. Further development of colorectal cancer screening into an organized program should strengthen the role and potential of healthcare delivery in family practices investigating persons with a positive family history of colorectal cancer.

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