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Flexible sigmoidoscopy screening for colorectal cancer in average‐risk subjects: a community‐based pilot project

1996; Wiley; Volume: 165; Issue: 2 Linguagem: Inglês

10.5694/j.1326-5377.1996.tb124851.x

1326-5377

John K. Olynyk, S. Aquilia, David Fletcher, James A. Dickinson,

Gastric Cancer Management and Outcomes

Medical Journal of AustraliaVolume 165, Issue 2 p. 74-76 Research Flexible sigmoidoscopy screening for colorectal cancer in average-risk subjects: a community-based pilot project John K Olynyk FRACP, MD, Corresponding Author John K Olynyk FRACP, MD Senior Lecturer and Head of Department of Gastroenterology jolynyk@uniwa.uwa.edu.au University Department of Medicine and Department of Gastroenterology, Fremantle Hospital, Fremantle, WAReprints: Dr J Olynyk, University Department of Medicine, Fremantle Hospital, PO Box 480, Fremantle, WA 6160. E-mail: jolynyk@uniwa.uwa.edu.auSearch for more papers by this authorSina Aquilia BA(Psych), Sina Aquilia BA(Psych) Research Assistant University Department of Medicine and Department of Gastroenterology, Fremantle Hospital, Fremantle, WASearch for more papers by this authorDavid R Fletcher FRACS, MD, David R Fletcher FRACS, MD Professor of Surgery, Head of Department of Surgery University Department of Surgery and Department of Gastroenterology, Fremantle Hospital, Fremantle, WASearch for more papers by this authorJim A Dickinson FRACGP, PhD, Jim A Dickinson FRACGP, PhD Professor of General Practice University Department of General Practice, Fremantle Hospital, Fremantle, WASearch for more papers by this author John K Olynyk FRACP, MD, Corresponding Author John K Olynyk FRACP, MD Senior Lecturer and Head of Department of Gastroenterology jolynyk@uniwa.uwa.edu.au University Department of Medicine and Department of Gastroenterology, Fremantle Hospital, Fremantle, WAReprints: Dr J Olynyk, University Department of Medicine, Fremantle Hospital, PO Box 480, Fremantle, WA 6160. E-mail: jolynyk@uniwa.uwa.edu.auSearch for more papers by this authorSina Aquilia BA(Psych), Sina Aquilia BA(Psych) Research Assistant University Department of Medicine and Department of Gastroenterology, Fremantle Hospital, Fremantle, WASearch for more papers by this authorDavid R Fletcher FRACS, MD, David R Fletcher FRACS, MD Professor of Surgery, Head of Department of Surgery University Department of Surgery and Department of Gastroenterology, Fremantle Hospital, Fremantle, WASearch for more papers by this authorJim A Dickinson FRACGP, PhD, Jim A Dickinson FRACGP, PhD Professor of General Practice University Department of General Practice, Fremantle Hospital, Fremantle, WASearch for more papers by this author First published: 01 July 1996 https://doi.org/10.5694/j.1326-5377.1996.tb124851.xCitations: 53AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Objective To test a pilot screening program for colorectal cancer. Design Subjects, chosen at random and recruited by mail, were examined by flexible sigmoidoscopy. Participants and setting Normal-risk, asymptomatic men and women aged 55-59 years recruited from the community, July to December, 1995. Main outcome measures Number of polyps detected and cancers diagnosed, and compliance with screening. Results Letters of invitation were sent to 3500 subjects; of these, 2881 were eligible for inclusion in the study and 342 (12%) consented to participate. A further 3.5% of non-compliant subjects attended the screening program after a telephone survey assessing reasons for non-attendance. Common reasons for non-attendance were a lack of interest (30%) or a lack of time, mainly due to work commitments (28%). A third of subjects had polyps and 46% of these were adenomas. Three subjects were found to have adenocarcinoma: in two the cancer was confined to a polyp and treated with polypectomy, and one subject underwent anterior resection (overall prevalence of cancer, 0.9%). The median depth of insertion achieved with flexible sigmoidoscopy was 55cm (range, 25-100cm). Median pain level (on a scale of 0=no pain to 10=worst pain imaginable) was 2 (range, 0-.8.5), and 99% of the subjects would have the test again if required. Conclusions Flexible sigmoidoscopy was well tolerated and had an acceptable detection rate of adenomatous polyps and early cancer. Subject compliance emerged as a major issue which requires further evaluation to maximise participation in future programs. Citing Literature Volume165, Issue2July 1996Pages 74-76 RelatedInformation