Adherence to repeat screening flexible sigmoidoscopy in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial
BACKGROUND Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. In the current prospective study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoido...
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| Veröffentlicht in: | Cancer 2002-05, Vol.94 (10), p.2569-2576 |
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| creator | Weissfeld, Joel L. Ling, Bruce S. Schoen, Robert E. Bresalier, Robert S. Riley, Thomas Prorok, Philip C. |
| description | BACKGROUND
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. In the current prospective study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.
METHODS
The current study was a prospective study of a randomized clinical trial drawing volunteers from the community. Subjects included 10,164 Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial participants who were available for follow‐up 3 years after undergoing a baseline screening flexible sigmoidoscopy examination. The authors measured adherence and identified those factors that appeared to affect adherence to repeat sigmoidoscopy.
RESULTS
Overall, 18.3% of women and 10.0% of men did not undergo a repeat sigmoidoscopy. Among individuals who attended the Year‐3 clinic, 10.4% of women and 5.1% of men specifically refused repeat sigmoidoscopy when it was offered (risk of refusal in women compared with men, 2.04; 95% confidence interval, 1.76–2.36). Another factor found to be associated with refusal included a technically inadequate baseline sigmoidoscopy.
CONCLUSIONS
Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. Nonetheless, among research volunteers in a randomized clinical trial of screening, excellent adherence to repeat screening flexible sigmoidoscopy could be achieved. Cancer 2002;94:2569–76. © 2002 American Cancer Society.
DOI 10.1002/cncr.10538
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. In the current study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy. |
| doi_str_mv | 10.1002/cncr.10538 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71989777</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71989777</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3918-581ccdaa0cc96cb222c45b2d18d937018f6dac358693bdb3a264b7ce512ed0d83</originalsourceid><addsrcrecordid>eNp9kc1uEzEUha0K1Ia2Gx4AeQMClIB_ZmLPshrxJ0VNBa3EbuS5vpMaOXawJ0CWvHldEtFdV7Z1P52j-5mQ55y944yJ9xAglVst9RGZcNaoGeOVeEImjDE9qyv5_YQ8y_lHeSpRy2NywgVXUgoxIX8v7C0mDIB0jDThBs1IMyTE4MKKDh7_uN4jzW61js7GDHGzoy7Q8RbpVYp5NCNO6WIbVlPaRh8Twmj8lJpg6fKXSc4E-vpq0S7f0NaUmkS__U-_LlN_Rp4Oxmc8P5yn5Objh-v282yx_PSlvVjMQDa8rKE5gDWGATRz6IUQUNW9sFzbRirG9TC3BmSt543sbS-NmFe9Aqy5QMuslqfk1T53k-LPLeaxW7sM6L0JGLe5U7zRjVKqgG_3IJT1csKh2yS3NmnXcdbdC-_uhXf_hBf4xSF126_RPqAHwwV4eQBMBuOHVCS4_MBVXJdPqQrH99xv53H3SGXXXrZf9-V39EyY0A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71989777</pqid></control><display><type>article</type><title>Adherence to repeat screening flexible sigmoidoscopy in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Access via Wiley Online Library</source><source>Wiley Free Content</source><source>Alma/SFX Local Collection</source><creator>Weissfeld, Joel L. ; Ling, Bruce S. ; Schoen, Robert E. ; Bresalier, Robert S. ; Riley, Thomas ; Prorok, Philip C.</creator><creatorcontrib>Weissfeld, Joel L. ; Ling, Bruce S. ; Schoen, Robert E. ; Bresalier, Robert S. ; Riley, Thomas ; Prorok, Philip C. ; Prostate, Lung, Colorectal, and Ovarian Project Team ; PLCO Project Team</creatorcontrib><description>BACKGROUND
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. In the current prospective study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.
METHODS
The current study was a prospective study of a randomized clinical trial drawing volunteers from the community. Subjects included 10,164 Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial participants who were available for follow‐up 3 years after undergoing a baseline screening flexible sigmoidoscopy examination. The authors measured adherence and identified those factors that appeared to affect adherence to repeat sigmoidoscopy.
RESULTS
Overall, 18.3% of women and 10.0% of men did not undergo a repeat sigmoidoscopy. Among individuals who attended the Year‐3 clinic, 10.4% of women and 5.1% of men specifically refused repeat sigmoidoscopy when it was offered (risk of refusal in women compared with men, 2.04; 95% confidence interval, 1.76–2.36). Another factor found to be associated with refusal included a technically inadequate baseline sigmoidoscopy.
CONCLUSIONS
Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. Nonetheless, among research volunteers in a randomized clinical trial of screening, excellent adherence to repeat screening flexible sigmoidoscopy could be achieved. Cancer 2002;94:2569–76. © 2002 American Cancer Society.
DOI 10.1002/cncr.10538
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. In the current study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.10538</identifier><identifier>PMID: 12173322</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>acceptability ; adherence ; Aged ; Biological and medical sciences ; Colorectal Neoplasms - diagnosis ; Female ; flexible sigmoidoscopy ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Male ; Medical sciences ; Middle Aged ; Ovarian Neoplasms - diagnosis ; Patient Acceptance of Health Care ; Prospective Studies ; Prostatic Neoplasms - diagnosis ; repeat testing ; Sex Factors ; Sigmoidoscopy - psychology ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors</subject><ispartof>Cancer, 2002-05, Vol.94 (10), p.2569-2576</ispartof><rights>Copyright © 2002 American Cancer Society</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3918-581ccdaa0cc96cb222c45b2d18d937018f6dac358693bdb3a264b7ce512ed0d83</citedby><cites>FETCH-LOGICAL-c3918-581ccdaa0cc96cb222c45b2d18d937018f6dac358693bdb3a264b7ce512ed0d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.10538$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.10538$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14187254$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12173322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weissfeld, Joel L.</creatorcontrib><creatorcontrib>Ling, Bruce S.</creatorcontrib><creatorcontrib>Schoen, Robert E.</creatorcontrib><creatorcontrib>Bresalier, Robert S.</creatorcontrib><creatorcontrib>Riley, Thomas</creatorcontrib><creatorcontrib>Prorok, Philip C.</creatorcontrib><creatorcontrib>Prostate, Lung, Colorectal, and Ovarian Project Team</creatorcontrib><creatorcontrib>PLCO Project Team</creatorcontrib><title>Adherence to repeat screening flexible sigmoidoscopy in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. In the current prospective study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.
METHODS
The current study was a prospective study of a randomized clinical trial drawing volunteers from the community. Subjects included 10,164 Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial participants who were available for follow‐up 3 years after undergoing a baseline screening flexible sigmoidoscopy examination. The authors measured adherence and identified those factors that appeared to affect adherence to repeat sigmoidoscopy.
RESULTS
Overall, 18.3% of women and 10.0% of men did not undergo a repeat sigmoidoscopy. Among individuals who attended the Year‐3 clinic, 10.4% of women and 5.1% of men specifically refused repeat sigmoidoscopy when it was offered (risk of refusal in women compared with men, 2.04; 95% confidence interval, 1.76–2.36). Another factor found to be associated with refusal included a technically inadequate baseline sigmoidoscopy.
CONCLUSIONS
Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. Nonetheless, among research volunteers in a randomized clinical trial of screening, excellent adherence to repeat screening flexible sigmoidoscopy could be achieved. Cancer 2002;94:2569–76. © 2002 American Cancer Society.
DOI 10.1002/cncr.10538
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. In the current study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.</description><subject>acceptability</subject><subject>adherence</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Female</subject><subject>flexible sigmoidoscopy</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ovarian Neoplasms - diagnosis</subject><subject>Patient Acceptance of Health Care</subject><subject>Prospective Studies</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>repeat testing</subject><subject>Sex Factors</subject><subject>Sigmoidoscopy - psychology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tumors</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uEzEUha0K1Ia2Gx4AeQMClIB_ZmLPshrxJ0VNBa3EbuS5vpMaOXawJ0CWvHldEtFdV7Z1P52j-5mQ55y944yJ9xAglVst9RGZcNaoGeOVeEImjDE9qyv5_YQ8y_lHeSpRy2NywgVXUgoxIX8v7C0mDIB0jDThBs1IMyTE4MKKDh7_uN4jzW61js7GDHGzoy7Q8RbpVYp5NCNO6WIbVlPaRh8Twmj8lJpg6fKXSc4E-vpq0S7f0NaUmkS__U-_LlN_Rp4Oxmc8P5yn5Objh-v282yx_PSlvVjMQDa8rKE5gDWGATRz6IUQUNW9sFzbRirG9TC3BmSt543sbS-NmFe9Aqy5QMuslqfk1T53k-LPLeaxW7sM6L0JGLe5U7zRjVKqgG_3IJT1csKh2yS3NmnXcdbdC-_uhXf_hBf4xSF126_RPqAHwwV4eQBMBuOHVCS4_MBVXJdPqQrH99xv53H3SGXXXrZf9-V39EyY0A</recordid><startdate>20020515</startdate><enddate>20020515</enddate><creator>Weissfeld, Joel L.</creator><creator>Ling, Bruce S.</creator><creator>Schoen, Robert E.</creator><creator>Bresalier, Robert S.</creator><creator>Riley, Thomas</creator><creator>Prorok, Philip C.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020515</creationdate><title>Adherence to repeat screening flexible sigmoidoscopy in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial</title><author>Weissfeld, Joel L. ; Ling, Bruce S. ; Schoen, Robert E. ; Bresalier, Robert S. ; Riley, Thomas ; Prorok, Philip C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3918-581ccdaa0cc96cb222c45b2d18d937018f6dac358693bdb3a264b7ce512ed0d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>acceptability</topic><topic>adherence</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Female</topic><topic>flexible sigmoidoscopy</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ovarian Neoplasms - diagnosis</topic><topic>Patient Acceptance of Health Care</topic><topic>Prospective Studies</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>repeat testing</topic><topic>Sex Factors</topic><topic>Sigmoidoscopy - psychology</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weissfeld, Joel L.</creatorcontrib><creatorcontrib>Ling, Bruce S.</creatorcontrib><creatorcontrib>Schoen, Robert E.</creatorcontrib><creatorcontrib>Bresalier, Robert S.</creatorcontrib><creatorcontrib>Riley, Thomas</creatorcontrib><creatorcontrib>Prorok, Philip C.</creatorcontrib><creatorcontrib>Prostate, Lung, Colorectal, and Ovarian Project Team</creatorcontrib><creatorcontrib>PLCO Project Team</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weissfeld, Joel L.</au><au>Ling, Bruce S.</au><au>Schoen, Robert E.</au><au>Bresalier, Robert S.</au><au>Riley, Thomas</au><au>Prorok, Philip C.</au><aucorp>Prostate, Lung, Colorectal, and Ovarian Project Team</aucorp><aucorp>PLCO Project Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to repeat screening flexible sigmoidoscopy in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2002-05-15</date><risdate>2002</risdate><volume>94</volume><issue>10</issue><spage>2569</spage><epage>2576</epage><pages>2569-2576</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. In the current prospective study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.
METHODS
The current study was a prospective study of a randomized clinical trial drawing volunteers from the community. Subjects included 10,164 Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial participants who were available for follow‐up 3 years after undergoing a baseline screening flexible sigmoidoscopy examination. The authors measured adherence and identified those factors that appeared to affect adherence to repeat sigmoidoscopy.
RESULTS
Overall, 18.3% of women and 10.0% of men did not undergo a repeat sigmoidoscopy. Among individuals who attended the Year‐3 clinic, 10.4% of women and 5.1% of men specifically refused repeat sigmoidoscopy when it was offered (risk of refusal in women compared with men, 2.04; 95% confidence interval, 1.76–2.36). Another factor found to be associated with refusal included a technically inadequate baseline sigmoidoscopy.
CONCLUSIONS
Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. Nonetheless, among research volunteers in a randomized clinical trial of screening, excellent adherence to repeat screening flexible sigmoidoscopy could be achieved. Cancer 2002;94:2569–76. © 2002 American Cancer Society.
DOI 10.1002/cncr.10538
Acceptance of screening flexible sigmoidoscopy has been poor, in part because of providers' concerns regarding the acceptability of the procedure. Gender and past experiences with sigmoidoscopy may impact adherence to repeat screening. In the current study, the authors used adherence to repeat testing to assess the acceptability of screening flexible sigmoidoscopy.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12173322</pmid><doi>10.1002/cncr.10538</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | acceptability adherence Aged Biological and medical sciences Colorectal Neoplasms - diagnosis Female flexible sigmoidoscopy Gastroenterology. Liver. Pancreas. Abdomen Humans Male Medical sciences Middle Aged Ovarian Neoplasms - diagnosis Patient Acceptance of Health Care Prospective Studies Prostatic Neoplasms - diagnosis repeat testing Sex Factors Sigmoidoscopy - psychology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors |
| title | Adherence to repeat screening flexible sigmoidoscopy in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial |
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