Screening for colorectal cancer in Market Harborough, UK: a community-based programme
OBJECTIVETo identify those groups of people who fail to participate in colorectal cancer screening programmes, using faecal occult blood tests, and to determine areas of diagnostic delay within such programmes. DESIGNGeneral practitioners in Market Harborough, Leicestershire, UK, offered 4176 people...
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| Veröffentlicht in: | European journal of gastroenterology & hepatology 1994-06, Vol.6 (6), p.519-522 |
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| container_title | European journal of gastroenterology & hepatology |
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| creator | Hart, Andrew R Gay, Simon P Donnelly, Ann Griffin, Lyn Inglis, Alastair Mayberry, Margaret K Wicks, Anthony C. B Mayberry, John F |
| description | OBJECTIVETo identify those groups of people who fail to participate in colorectal cancer screening programmes, using faecal occult blood tests, and to determine areas of diagnostic delay within such programmes.
DESIGNGeneral practitioners in Market Harborough, Leicestershire, UK, offered 4176 people aged from 50–70 years, registered with the practice, a free haemoccult test for the early detection of colorectal cancer.
METHODSCompliance was measured according to age and gender. Those patients with positive faecal occult blood tests were investigated with colonoscopy.
RESULTSThe compliance rate was 38%, with more women participating than men (42 compared with 33%, x = 37.2, P |
| doi_str_mv | 10.1097/00042737-199406000-00012 |
| format | Article |
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DESIGNGeneral practitioners in Market Harborough, Leicestershire, UK, offered 4176 people aged from 50–70 years, registered with the practice, a free haemoccult test for the early detection of colorectal cancer.
METHODSCompliance was measured according to age and gender. Those patients with positive faecal occult blood tests were investigated with colonoscopy.
RESULTSThe compliance rate was 38%, with more women participating than men (42 compared with 33%, x = 37.2, P<0.0001). This difference was due to younger women, aged 50–60 years, returning more kits than their male counterparts (47 compared with 32%, X = 54.7, P<0.0001). Two patients were diagnosed as having carcinoma (Dukesʼ C and D tumours) and a further four as having adenomatous polyps. Patients were allowed 1 month to complete repeat tests while on a restricted diet and to decide whether to undergo investigation.
CONCLUSIONSTo achieve a high compliance rate in future programmes, all groups should be targeted, especially men and older women. In patients with positive initial tests found to have distal lesions, diagnosis may be advanced by an immediate rectal examination and rigid sigmoidoscopy.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/00042737-199406000-00012</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Gastroenterology. Liver. Pancreas. Abdomen ; Medical sciences ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors</subject><ispartof>European journal of gastroenterology & hepatology, 1994-06, Vol.6 (6), p.519-522</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4084125$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Hart, Andrew R</creatorcontrib><creatorcontrib>Gay, Simon P</creatorcontrib><creatorcontrib>Donnelly, Ann</creatorcontrib><creatorcontrib>Griffin, Lyn</creatorcontrib><creatorcontrib>Inglis, Alastair</creatorcontrib><creatorcontrib>Mayberry, Margaret K</creatorcontrib><creatorcontrib>Wicks, Anthony C. B</creatorcontrib><creatorcontrib>Mayberry, John F</creatorcontrib><title>Screening for colorectal cancer in Market Harborough, UK: a community-based programme</title><title>European journal of gastroenterology & hepatology</title><description>OBJECTIVETo identify those groups of people who fail to participate in colorectal cancer screening programmes, using faecal occult blood tests, and to determine areas of diagnostic delay within such programmes.
DESIGNGeneral practitioners in Market Harborough, Leicestershire, UK, offered 4176 people aged from 50–70 years, registered with the practice, a free haemoccult test for the early detection of colorectal cancer.
METHODSCompliance was measured according to age and gender. Those patients with positive faecal occult blood tests were investigated with colonoscopy.
RESULTSThe compliance rate was 38%, with more women participating than men (42 compared with 33%, x = 37.2, P<0.0001). This difference was due to younger women, aged 50–60 years, returning more kits than their male counterparts (47 compared with 32%, X = 54.7, P<0.0001). Two patients were diagnosed as having carcinoma (Dukesʼ C and D tumours) and a further four as having adenomatous polyps. Patients were allowed 1 month to complete repeat tests while on a restricted diet and to decide whether to undergo investigation.
CONCLUSIONSTo achieve a high compliance rate in future programmes, all groups should be targeted, especially men and older women. In patients with positive initial tests found to have distal lesions, diagnosis may be advanced by an immediate rectal examination and rigid sigmoidoscopy.</description><subject>Biological and medical sciences</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Medical sciences</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tumors</subject><issn>0954-691X</issn><issn>1473-5687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LAzEQhoMoWKv_IQePRvO1ycabFLVixYMWvIVsNtuu3Y8y2VL6741We_MwvAw878A8CGFGrxk1-oZSKrkWmjBjJFVpJWkYP0IjJrUgmcr1MRpRk0miDPs4RWcxfiZCC6ZHaP7mIYSu7ha46gH7vukh-ME12LvOB8B1h18crMKApw6KHvrNYnmF58-32CW6bTddPexI4WIo8Rr6Bbi2DefopHJNDBe_OUbzh_v3yZTMXh-fJncz4rlWnBieGRGY4YYLSbUwVSGVKmgluMuoEiUXWeGoNKoUiffM56HUuVRlEWRZCDFG-f6uhz5GCJVdQ9062FlG7bce-6fHHvTYHz2permvrl30rqkgvVvHQ1_SXDKeJUzusW3fDAHiqtlsA9hlcM2wtP_JF18ownOF</recordid><startdate>199406</startdate><enddate>199406</enddate><creator>Hart, Andrew R</creator><creator>Gay, Simon P</creator><creator>Donnelly, Ann</creator><creator>Griffin, Lyn</creator><creator>Inglis, Alastair</creator><creator>Mayberry, Margaret K</creator><creator>Wicks, Anthony C. B</creator><creator>Mayberry, John F</creator><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>199406</creationdate><title>Screening for colorectal cancer in Market Harborough, UK: a community-based programme</title><author>Hart, Andrew R ; Gay, Simon P ; Donnelly, Ann ; Griffin, Lyn ; Inglis, Alastair ; Mayberry, Margaret K ; Wicks, Anthony C. B ; Mayberry, John F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2762-92593e19292340739fb466b0f32a5063d235ba0496d3762c1c8ed7846dbe4db33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Medical sciences</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hart, Andrew R</creatorcontrib><creatorcontrib>Gay, Simon P</creatorcontrib><creatorcontrib>Donnelly, Ann</creatorcontrib><creatorcontrib>Griffin, Lyn</creatorcontrib><creatorcontrib>Inglis, Alastair</creatorcontrib><creatorcontrib>Mayberry, Margaret K</creatorcontrib><creatorcontrib>Wicks, Anthony C. B</creatorcontrib><creatorcontrib>Mayberry, John F</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><jtitle>European journal of gastroenterology & hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hart, Andrew R</au><au>Gay, Simon P</au><au>Donnelly, Ann</au><au>Griffin, Lyn</au><au>Inglis, Alastair</au><au>Mayberry, Margaret K</au><au>Wicks, Anthony C. B</au><au>Mayberry, John F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening for colorectal cancer in Market Harborough, UK: a community-based programme</atitle><jtitle>European journal of gastroenterology & hepatology</jtitle><date>1994-06</date><risdate>1994</risdate><volume>6</volume><issue>6</issue><spage>519</spage><epage>522</epage><pages>519-522</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>OBJECTIVETo identify those groups of people who fail to participate in colorectal cancer screening programmes, using faecal occult blood tests, and to determine areas of diagnostic delay within such programmes.
DESIGNGeneral practitioners in Market Harborough, Leicestershire, UK, offered 4176 people aged from 50–70 years, registered with the practice, a free haemoccult test for the early detection of colorectal cancer.
METHODSCompliance was measured according to age and gender. Those patients with positive faecal occult blood tests were investigated with colonoscopy.
RESULTSThe compliance rate was 38%, with more women participating than men (42 compared with 33%, x = 37.2, P<0.0001). This difference was due to younger women, aged 50–60 years, returning more kits than their male counterparts (47 compared with 32%, X = 54.7, P<0.0001). Two patients were diagnosed as having carcinoma (Dukesʼ C and D tumours) and a further four as having adenomatous polyps. Patients were allowed 1 month to complete repeat tests while on a restricted diet and to decide whether to undergo investigation.
CONCLUSIONSTo achieve a high compliance rate in future programmes, all groups should be targeted, especially men and older women. In patients with positive initial tests found to have distal lesions, diagnosis may be advanced by an immediate rectal examination and rigid sigmoidoscopy.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><doi>10.1097/00042737-199406000-00012</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0954-691X |
| ispartof | European journal of gastroenterology & hepatology, 1994-06, Vol.6 (6), p.519-522 |
| issn | 0954-691X 1473-5687 |
| language | eng |
| recordid | cdi_crossref_primary_10_1097_00042737_199406000_00012 |
| source | Journals@Ovid Ovid Autoload |
| subjects | Biological and medical sciences Gastroenterology. Liver. Pancreas. Abdomen Medical sciences Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors |
| title | Screening for colorectal cancer in Market Harborough, UK: a community-based programme |
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