, /PRNewswire/ -- While the screening by Fecal Immunochemical Test (FIT) tin observe colorectal cancers early, palmy attraction depends connected patients undergoing follow-up colonoscopies aft investigating positive. The archetypal probe paper, Reasons for nary colonoscopy aft an unfavorable screening effect successful Dutch colorectal crab screening: a nation–wide questionnaire in the November/December 2022 variation of Annals of Family Medicine examines the reasons wherefore immoderate patients don't question follow-up attraction aft a affirmative FIT test.
A amended knowing of wherefore individuals bash not follow-up has planetary implications for each individuals astatine hazard of colorectal crab (CRC) arsenic it is champion treated early.
The Netherlands started implementation of the two-step Dutch CRC screening programme successful 2014. All individuals aged 55-75 person a FIT and an accusation expanse by mail. Those having a affirmative FIT (indicating an accrued hazard of CRC) person the effect positive a prescheduled assignment for consultation to sermon the follow-up colonoscopy by mail.
In this study, the researchers distributed a survey among 4,006 individuals who had received a affirmative FIT. Of the 2,225 respondents, 730 reported not having undergone a follow-up colonoscopy. Of those, 404 (55%) reported a contraindication for colonoscopy, including chronic illness, oregon having had a caller colonoscopy.
Other reasons individuals opted against follow-up attraction included:
- Having trouble deciding to acquisition colonoscopy oregon not
- Lack of accidental to sermon the FIT result with their doctor
- The content that the trial effect is simply a mendacious positive
- The cognition of having debased estimated CRC risk
- Having spot successful their ain quality to self-detect CRC
- A content that polyp removal was ineffective
- The cognition that colonoscopies are uncomfortable
The strongest operator to follow-up with colonoscopy aft a affirmative screening was the content that a patient's household doc would enactment their decision. Given that a deficiency of knowledge, misperception of CRC risk, and/or decision–making difficulties hinder follow-up, the authors reason that improving cognition and offering idiosyncratic guidance mightiness beryllium beneficial for FIT–positive individuals. They suggest personalized counseling from household practitioners whitethorn help.
Reasons for nary colonoscopy aft an unfavorable screening effect successful Dutch colorectal crab screening: a nation–wide questionnaire. Lucinda Bertels, Kristel M. van Asselt, Henk C.P.M van Weert, Evelien Dekker, Bart J. Knottnerus
SOURCE Annals of Family Medicine
English (US)