+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

General practitioner and specialist views on colonoscopic screening of first-degree relatives of colorectal cancer patients



General practitioner and specialist views on colonoscopic screening of first-degree relatives of colorectal cancer patients



Cancer Epidemiology 33(3-4): 223-230



Barriers to targeted colonoscopic screening of first-degree relatives of colorectal cancer patients have been the subject of considerable literature, always as seen from the patient's viewpoint. In the specific context of screening individuals with a family history, physicians may also play a predominant role in motivating their colorectal cancer patients to pass on screening information to their relatives. The aim of this study was to examine the views of general practitioners and specialists regarding barriers and facilitators affecting participation of relatives in colonoscopic screening. A qualitative study was conducted to collect and analyse information from two focus groups of 4 general practitioners and 9 gastroenterologists respectively, and from semi-structured individual interviews with 10 general practitioners, 2 surgeons and 3 oncologists. An extended focus group of 36 gastroenterologists was organized to validate the results. The main barriers to colonoscopic screening of FDRs were associated with lack of direct communication between physicians and FDRs. Physicians needed support in the task of informing index patients and persuading them to transfer information on screening to their FDRs. The general practitioners spoke of their expectations in terms of training in and motivation for promoting screening and the gastroenterologists expressed the wish for patient education material specific to colonoscopy and for systematic post-colonoscopy consultations to inform patients about their results, follow-up and screening their relatives. The findings, notably the need for specific education materials and for training to improve the motivation of physicians, will help to develop effective interventions intended to increase participation in screening.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053369709

Download citation: RISBibTeXText

PMID: 19683486

DOI: 10.1016/j.canep.2009.07.002


Related references

Colonoscopic screening for first degree relatives of patients with colorectal cancer. Zhonghua Yi Xue Za Zhi 54(3): 166-169, 1994

Colonoscopic screening of first-degree relatives of patients with colorectal cancer. Gastroenterology 117(3): 747, 1999

Colonoscopic screening in first degree relatives of patients with colorectal cancer. Gastroenterologie Clinique et Biologique 17(5): 409-410, 1993

Colonoscopic screening of asymptomatic first-degree relatives of colorectal cancer patients. Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 114(3): 683-686, 2011

Colonoscopic screening in first-degree relatives of patients with sporadic colorectal cancer. Annali Italiani di Chirurgia 71(6): 693-699, 2001

Effectiveness of a colonoscopic screening programme in first-degree relatives of patients with colorectal cancer. Colorectal Disease 13(6): E145-E153, 2011

Colonoscopic screening in first-degree relatives of patients with 'Sporadic' colorectal cancer: A case-control study. Gastroenterology 115(1): 7-12, 1998

Colonoscopic findings in first-degree relatives of patients with colorectal cancer: a population-based screening program. Gastrointestinal Endoscopy 73(3): 527-534.E2, 2011

Clinical impact of colonoscopic screening in first-degree relatives of patients with hereditary non-polyposis colorectal cancer. British Journal of Surgery 82(10): 1338-1340, 1995

Colonoscopic surveillance of first-degree relatives of colorectal cancer patients in a faecal occult blood screening programme. Cancer Epidemiology 37(4): 469-473, 2013

Colonoscopic Screening of First-Degree Relatives of Patients With Large Adenomas: Increased Risk of Colorectal Tumors. Yearbook of Medicine 2008: 465-466, 2008

Colonoscopic screening of first-degree relatives of patients with large adenomas: increased risk of colorectal tumors. Gastroenterology 133(4): 1086-1092, 2007

Colonic neoplasm in asymptomatic patients with family history of colon cancer: results of a colonoscopic prospective and controlled study. Results of a pilot study of endoscopic screening of first degree relatives of colorectal cancer patients in Italy. Gastrointestinal Endoscopy 49(1): 132-133, 1999

Colonoscopic screening for neoplasms in asymptomatic first-degree relatives of colon cancer patients. Diseases of the Colon & Rectum 35(6): 523-529, 1992

Colonoscopic screening for neoplasms in asymptomatic first-degree relatives of colon cancer patients. A controlled, prospective study. Diseases of the Colon and Rectum 35(6): 523-529, 1992