Dose Reduction in Screening Programs: Colon Cancer Screening

Author(s):  
Thierry N. Boellaard ◽  
Henk W. Venema ◽  
Jaap Stoker
2018 ◽  
Vol 20 (S1) ◽  
Author(s):  
Jérôme Viguier ◽  
Jean-François Morère ◽  
Lysel Brignoli-Guibaudet ◽  
Christine Lhomel ◽  
Sébastien Couraud ◽  
...  

2008 ◽  
Vol 22 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Amanda Condon ◽  
Lesley Graff ◽  
Lawrence Elliot ◽  
Alexandra Ilnyckyj

BACKGROUND: Colon cancer screening, including colonoscopy, lags behind other forms of cancer screening for participation rates. The intrinsic nature of the endoscopic procedure may be an important barrier that limits patients from finding this test acceptable and affects willingness to undergo screening. With colon cancer screening programs emerging in Canada, test characteristics and their impact on acceptance warrant consideration.OBJECTIVES: To measure the acceptability of colonoscopy and define factors that contribute to procedural acceptability, in relation to another invasive gastrointestinal scope procedure, gastroscopy.PATIENTS AND METHODS: Consecutive patients undergoing a colonoscopy (n=55) or a gastroscopy (n=33) were recruited. Their procedural experience was evaluated and compared pre-endoscopy, immediately before testing and postendoscopy. Questionnaires were used to capture multiple domains of the endoscopy experience and patient characteristics.RESULTS: Patient scope groups did not differ preprocedurally for general or procedure-specific anxiety. However, the colonoscopy group did anticipate more pain. Those who had a gastroscopy demonstrated higher preprocedural acceptance than those who had a colonoscopy. The colonoscopy group had a significant decrease in scope concerns and anxiety postprocedurally. As well, they reported less pain than they anticipated. Regardless, postprocedurally, the colonoscopy group’s acceptance did not increase significantly, whereas the gastroscopy group was almost unanimous in their test acceptance. The best predictor of pretest acceptability of colonoscopy was anticipated pain.CONCLUSIONS: The findings indicate that concerns that relate specifically to colonoscopy, including anticipated pain, influence acceptability of the procedure. However, the experience of a colonoscopy does not lead to improved test acceptance, despite decreases in procedural anxiety and pain. Patients’ preprocedural views of the test are most important and should be addressed directly to potentially improve participation in colonoscopy.


1998 ◽  
Vol 91 (4) ◽  
pp. 342-344 ◽  
Author(s):  
ANN M. DiPALMA ◽  
S EUGENE BARNES ◽  
JACK A. DiPALMA

2008 ◽  
Vol 41 (22) ◽  
pp. 29
Author(s):  
JON O. EBBERT ◽  
ERIC G. TANGALOS

Author(s):  
Marina Kochiyeva

Data on modern methodological approaches that are used in screening for cancer are summarized. General principles of organizing screening studies are examined from the perspective of evidence-based medicine, target population, research methods, and effectiveness of the implemented screening programs for breast cancer, cervical cancer, and colon cancer are determined.


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