Recent Trends for Colorectal Cancer Screening in HIV-Infected Patients

We planned to investigate the recent trends for colorectal cancer (CRC) screening in human immunodeficiency virus (HIV) as compared to non-HIV by interviewing consecutive patients in outpatient clinics during September 2007. Out of a total of 300 patients interviewed, 205 met the inclusion criteria....

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Veröffentlicht in:Digestive diseases and sciences 2010-03, Vol.55 (3), p.761-766
Hauptverfasser: Iqbal, Shahzad, Browne-McDonald, Veron, Cerulli, Maurice A
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creator Iqbal, Shahzad
Browne-McDonald, Veron
Cerulli, Maurice A
description We planned to investigate the recent trends for colorectal cancer (CRC) screening in human immunodeficiency virus (HIV) as compared to non-HIV by interviewing consecutive patients in outpatient clinics during September 2007. Out of a total of 300 patients interviewed, 205 met the inclusion criteria. One hundred and fourteen were HIV-infected, while 91 were non-HIV. HIV received more office visits per year. Despite the high incidence of adenomas on screening colonoscopy, HIV patients were less likely to undergo any type of CRC screening test. A higher number (≥10) of annual clinic visits and the presence of co-morbid conditions were associated with being up-to-date for CRC screening in HIV patients. Conclusion CRC screening is underutilized in HIV patients. Multiple office visits per year are associated with being up-to-date for CRC screening. Hence, increasing patients' compliance with office visits and educating them about the importance of CRC screening may indirectly increase compliance with CRC screening.
doi_str_mv 10.1007/s10620-009-0774-8
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Out of a total of 300 patients interviewed, 205 met the inclusion criteria. One hundred and fourteen were HIV-infected, while 91 were non-HIV. HIV received more office visits per year. Despite the high incidence of adenomas on screening colonoscopy, HIV patients were less likely to undergo any type of CRC screening test. A higher number (≥10) of annual clinic visits and the presence of co-morbid conditions were associated with being up-to-date for CRC screening in HIV patients. Conclusion CRC screening is underutilized in HIV patients. Multiple office visits per year are associated with being up-to-date for CRC screening. Hence, increasing patients' compliance with office visits and educating them about the importance of CRC screening may indirectly increase compliance with CRC screening.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-009-0774-8</identifier><identifier>PMID: 19283477</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Boston: Boston : Springer US</publisher><subject>Adult ; Aged ; Biochemistry ; Biological and medical sciences ; Cancer ; Colonoscopy ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Comparative analysis ; Diagnosis ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatology ; HIV (Viruses) ; HIV infection ; HIV Infections - complications ; HIV patients ; HIV testing ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; New York City ; Oncology ; Original Article ; Patient Compliance ; Patient Education as Topic ; Planning ; Prospective Studies ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Transplant Surgery ; Tumors ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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Out of a total of 300 patients interviewed, 205 met the inclusion criteria. One hundred and fourteen were HIV-infected, while 91 were non-HIV. HIV received more office visits per year. Despite the high incidence of adenomas on screening colonoscopy, HIV patients were less likely to undergo any type of CRC screening test. A higher number (≥10) of annual clinic visits and the presence of co-morbid conditions were associated with being up-to-date for CRC screening in HIV patients. Conclusion CRC screening is underutilized in HIV patients. Multiple office visits per year are associated with being up-to-date for CRC screening. Hence, increasing patients' compliance with office visits and educating them about the importance of CRC screening may indirectly increase compliance with CRC screening.</description><subject>Adult</subject><subject>Aged</subject><subject>Biochemistry</subject><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Comparative analysis</subject><subject>Diagnosis</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatology</subject><subject>HIV (Viruses)</subject><subject>HIV infection</subject><subject>HIV Infections - complications</subject><subject>HIV patients</subject><subject>HIV testing</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>New York City</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic</subject><subject>Planning</subject><subject>Prospective Studies</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Out of a total of 300 patients interviewed, 205 met the inclusion criteria. One hundred and fourteen were HIV-infected, while 91 were non-HIV. HIV received more office visits per year. Despite the high incidence of adenomas on screening colonoscopy, HIV patients were less likely to undergo any type of CRC screening test. A higher number (≥10) of annual clinic visits and the presence of co-morbid conditions were associated with being up-to-date for CRC screening in HIV patients. Conclusion CRC screening is underutilized in HIV patients. Multiple office visits per year are associated with being up-to-date for CRC screening. Hence, increasing patients' compliance with office visits and educating them about the importance of CRC screening may indirectly increase compliance with CRC screening.</abstract><cop>Boston</cop><pub>Boston : Springer US</pub><pmid>19283477</pmid><doi>10.1007/s10620-009-0774-8</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Biochemistry
Biological and medical sciences
Cancer
Colonoscopy
Colorectal cancer
Colorectal Neoplasms - diagnosis
Comparative analysis
Diagnosis
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
HIV (Viruses)
HIV infection
HIV Infections - complications
HIV patients
HIV testing
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
New York City
Oncology
Original Article
Patient Compliance
Patient Education as Topic
Planning
Prospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Transplant Surgery
Tumors
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Recent Trends for Colorectal Cancer Screening in HIV-Infected Patients
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