Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer
Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimat...
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description | Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. Of 412 participants aged 50 years or over, slightly above average risk of CRC, 1 participant (0.25 %) reported appropriate screening, 316 (77 %) reported no screening, and 11 (3 %) reported some but less than appropriate screening. Among participants under age 50 years, 2 % of those at average risk and 10 % of those slightly above average risk reported over-screening. Middle-aged people, those with a family history of CRC and those with a university degree, were more likely to be over-screened. Conclusion: Overall, the level of CRC screening participation was low and the vast majority of screening tests undertaken were inappropriate in terms of timing, modality, or frequency. |
doi_str_mv | 10.1007/s10552-012-0067-y |
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In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. Of 412 participants aged 50 years or over, slightly above average risk of CRC, 1 participant (0.25 %) reported appropriate screening, 316 (77 %) reported no screening, and 11 (3 %) reported some but less than appropriate screening. Among participants under age 50 years, 2 % of those at average risk and 10 % of those slightly above average risk reported over-screening. Middle-aged people, those with a family history of CRC and those with a university degree, were more likely to be over-screened. Conclusion: Overall, the level of CRC screening participation was low and the vast majority of screening tests undertaken were inappropriate in terms of timing, modality, or frequency.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-012-0067-y</identifier><identifier>PMID: 23011536</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Adolescent ; Adult ; Aged ; Arithmetic mean ; Australia - epidemiology ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Cancer screening ; Colonoscopy ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - prevention & control ; Data Collection ; Disease risk ; Early Detection of Cancer - methods ; Epidemiology ; Families & family life ; Family history ; Family medical history ; Feces ; Female ; Hematology ; Humans ; Incidence ; Indexing in process ; Male ; Medical research ; Medical screening ; Middle Aged ; Occult blood testing ; Oncology ; Original Paper ; Population ; Public Health ; Risk Factors ; Screening tests ; Sigmoidoscopy ; Sociodemographics ; Surveys and Questionnaires ; Womens health ; Young Adult</subject><ispartof>Cancer causes & control, 2012-11, Vol.23 (11), p.1853-1864</ispartof><rights>Springer Science+Business Media Dordrecht 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-80fcf9037070949eae467f9c7ea2bd0168a2df2e5a5fd462a8d5d51502d807153</citedby><cites>FETCH-LOGICAL-c525t-80fcf9037070949eae467f9c7ea2bd0168a2df2e5a5fd462a8d5d51502d807153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23274507$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23274507$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,781,785,804,886,27929,27930,41493,42562,51324,58022,58255</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23011536$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ouakrim, Driss Ait</creatorcontrib><creatorcontrib>Lockett, Trevor</creatorcontrib><creatorcontrib>Boussioutas, Alex</creatorcontrib><creatorcontrib>Keogh, Louise</creatorcontrib><creatorcontrib>Flander, Louisa B.</creatorcontrib><creatorcontrib>Winship, Ingrid</creatorcontrib><creatorcontrib>Giles, Graham G.</creatorcontrib><creatorcontrib>Hopper, John L.</creatorcontrib><creatorcontrib>Jenkins, Mark A.</creatorcontrib><title>Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer</title><title>Cancer causes & control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. Of 412 participants aged 50 years or over, slightly above average risk of CRC, 1 participant (0.25 %) reported appropriate screening, 316 (77 %) reported no screening, and 11 (3 %) reported some but less than appropriate screening. Among participants under age 50 years, 2 % of those at average risk and 10 % of those slightly above average risk reported over-screening. Middle-aged people, those with a family history of CRC and those with a university degree, were more likely to be over-screened. Conclusion: Overall, the level of CRC screening participation was low and the vast majority of screening tests undertaken were inappropriate in terms of timing, modality, or frequency.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arithmetic mean</subject><subject>Australia - epidemiology</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Cancer screening</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - prevention & control</subject><subject>Data Collection</subject><subject>Disease risk</subject><subject>Early Detection of Cancer - methods</subject><subject>Epidemiology</subject><subject>Families & family life</subject><subject>Family history</subject><subject>Family medical history</subject><subject>Feces</subject><subject>Female</subject><subject>Hematology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Indexing in process</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Occult blood testing</subject><subject>Oncology</subject><subject>Original Paper</subject><subject>Population</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Screening tests</subject><subject>Sigmoidoscopy</subject><subject>Sociodemographics</subject><subject>Surveys and Questionnaires</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUFv1DAQhSMEokvhB3AAWeXSS2DsxHFyqVRVUJAqcQDO1qwzSb1k7cVOtlp-PQ4p1YLEwbKlee8bP70se8nhLQdQ7yIHKUUOPB2oVH54lK24VEWuhJCPsxU0UuVSlMVJ9izGDQDISsDT7EQUwLksqlV298UEImddz3YBzWgNReY7djnFMeBg0bEtOYauZXd-fhkcqffB_qSWYWRnODIfWBxsfzsOB4ZrvyeGewrYEws2fj-bccYPPpAZcUgAZyg8z550OER6cX-fZt8-vP969TG_-Xz96eryJjdSyDGvoTNdA4UCBU3ZEFJZqa4xilCsW-BVjaLtBEmUXVtWAutWtpJLEG0NKkU8zS4W7m5ab6k15OZYehfsFsNBe7T674mzt7r3e11IqEuABDi_BwT_Y6I46q2NhoYBHfkpas6FFKLhgifpm3-kGz8Fl-JpDnUlU1e_gXxRmeBjDNQ9fIaDnmvVS6061arnWvUheV4fp3hw_OkxCcQiiGnkegrHq_9PfbWYNnH04QgqVClBFb8AT1G4rQ</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Ouakrim, Driss Ait</creator><creator>Lockett, Trevor</creator><creator>Boussioutas, Alex</creator><creator>Keogh, Louise</creator><creator>Flander, Louisa B.</creator><creator>Winship, Ingrid</creator><creator>Giles, Graham G.</creator><creator>Hopper, John L.</creator><creator>Jenkins, Mark A.</creator><general>Springer</general><general>Springer Netherlands</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>20121101</creationdate><title>Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer</title><author>Ouakrim, Driss Ait ; Lockett, Trevor ; Boussioutas, Alex ; Keogh, Louise ; Flander, Louisa B. ; Winship, Ingrid ; Giles, Graham G. ; Hopper, John L. ; Jenkins, Mark A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-80fcf9037070949eae467f9c7ea2bd0168a2df2e5a5fd462a8d5d51502d807153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arithmetic mean</topic><topic>Australia - epidemiology</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Cancer screening</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - prevention & control</topic><topic>Data Collection</topic><topic>Disease risk</topic><topic>Early Detection of Cancer - methods</topic><topic>Epidemiology</topic><topic>Families & family life</topic><topic>Family history</topic><topic>Family medical history</topic><topic>Feces</topic><topic>Female</topic><topic>Hematology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Indexing in process</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Occult blood testing</topic><topic>Oncology</topic><topic>Original Paper</topic><topic>Population</topic><topic>Public Health</topic><topic>Risk Factors</topic><topic>Screening tests</topic><topic>Sigmoidoscopy</topic><topic>Sociodemographics</topic><topic>Surveys and Questionnaires</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ouakrim, Driss Ait</creatorcontrib><creatorcontrib>Lockett, Trevor</creatorcontrib><creatorcontrib>Boussioutas, Alex</creatorcontrib><creatorcontrib>Keogh, Louise</creatorcontrib><creatorcontrib>Flander, Louisa B.</creatorcontrib><creatorcontrib>Winship, Ingrid</creatorcontrib><creatorcontrib>Giles, Graham G.</creatorcontrib><creatorcontrib>Hopper, John L.</creatorcontrib><creatorcontrib>Jenkins, Mark A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ouakrim, Driss Ait</au><au>Lockett, Trevor</au><au>Boussioutas, Alex</au><au>Keogh, Louise</au><au>Flander, Louisa B.</au><au>Winship, Ingrid</au><au>Giles, Graham G.</au><au>Hopper, John L.</au><au>Jenkins, Mark A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer</atitle><jtitle>Cancer causes & control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>23</volume><issue>11</issue><spage>1853</spage><epage>1864</epage><pages>1853-1864</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract>Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. Of 412 participants aged 50 years or over, slightly above average risk of CRC, 1 participant (0.25 %) reported appropriate screening, 316 (77 %) reported no screening, and 11 (3 %) reported some but less than appropriate screening. Among participants under age 50 years, 2 % of those at average risk and 10 % of those slightly above average risk reported over-screening. Middle-aged people, those with a family history of CRC and those with a university degree, were more likely to be over-screened. Conclusion: Overall, the level of CRC screening participation was low and the vast majority of screening tests undertaken were inappropriate in terms of timing, modality, or frequency.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>23011536</pmid><doi>10.1007/s10552-012-0067-y</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Arithmetic mean Australia - epidemiology Biomedical and Life Sciences Biomedicine Cancer Research Cancer screening Colonoscopy Colorectal cancer Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Colorectal Neoplasms - prevention & control Data Collection Disease risk Early Detection of Cancer - methods Epidemiology Families & family life Family history Family medical history Feces Female Hematology Humans Incidence Indexing in process Male Medical research Medical screening Middle Aged Occult blood testing Oncology Original Paper Population Public Health Risk Factors Screening tests Sigmoidoscopy Sociodemographics Surveys and Questionnaires Womens health Young Adult |
title | Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer |
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