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Journal of Medical Screening

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J Med Screen 2009;16:33-38
doi:10.1258/jms.2009.008062
© 2009 Medical Screening Society

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Original Articles

Willingness to undergo colorectal cancer screening in first-degree relatives of hospitalized patients with colorectal cancer

L Delgado-Plasencia, MD  , Surgeon, Department of General Surgery, University Hospital of the Canary Islands, Ofra, s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife

E López-Tomassetti-Fernández, MD , Surgeon, Department of General Surgery, University Hospital of the Canary Islands, Ofra, s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife

A Hernández-Morales, MD , Surgeon, Department of General Surgery, University Hospital of the Canary Islands, Ofra, s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife

E Torres-Monzón , Nurse, Department of General Surgery, University Hospital of the Canary Islands, Ofra, s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife

F González-Hermoso, MD PhD , Professor of Surgery, Department of General Surgery, University Hospital of the Canary Islands, Ofra, s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife

Correspondence to: Dr Luciano Delgado Plasencia, MD, Department of Surgery, Hospital Universitario de Canarias, Ofra, s/n. La Cuesta 38320-La Laguna, Santa Cruz de Tenerife;lucianodelgado1{at}gmail.com, luciano_delgado1{at}yahoo.es


Aims To evaluate whether willingness to undergo colonoscopy screening is influenced by being a first-degree relative of hospitalized patients with or without colorectal cancer after briefing and surgeon recommendation.

Methods We performed a cross-sectional study of 327 first-degree relatives of hospitalized patients aged higher than 40 years, divided into Group A (151 relatives of colorectal cancer patients) and Group B (176 relatives of non-cancer patients) at the University Hospital of the Canary Islands, Spain. All were personally briefed by a surgeon, aided by a colorectal cancer pamphlet, and encouraged to accept screening colonoscopy with sedation.

Results Willingness to undergo colonoscopy screening was greater in Group A (66.9%) than in Group B (29.0%); (odds ratio: 11.1; 95% confidence interval = 4.27 to 29.14; P < 0.001). Pre-briefing awareness of screening colonoscopy was also significantly higher in Group A (76.8% vs. 33.5%; P < 0.001), the main source of information being a close relative with colorectal cancer.

Conclusions Being a close relative of a colorectal cancer patient is positively related with willingness to undergo colonoscopy screening in this study. This cross-sectional study outlines a strategy for increasing the level of willingness to undergo colorectal cancer screening in a group of people at risk.


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