Kilickap Saadettin, Arslan Cagatay, Rama Dorina, Yalcin Suayib
Department of Medical Oncology, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.
Asian Pac J Cancer Prev. 2012;13(6):2829-32. doi: 10.7314/apjcp.2012.13.6.2829.
This study aimed to research the awareness of screening colonoscopy (SC) among patients with colorectal cancer (CRC) and their relatives.
A questionnaire form including information and behavior about colonoscopic screening for CRCs of patients and their first-degree relatives (FDRs) was prepared.
A total of 406 CRC patients were enrolled into the study, with 1534 FDRs (siblings n: 1381 and parents n: 153) . Positive family history for CRC was found in 12% of the study population. Previous SC was performed in 11% of patients with CRC. Mean age of the patients whose FDRs underwent SC was lower than the patients whose FDRs did not (52 vs 57 years; p<0,001). The frequency of SC in FDRs was 64% in patients diagnosed CRC under 35 years of age. Persons having a positive family history of CRC had SC more often (51 vs 22%, p<0,001). FDRs of patients having a higher educational level and income had SC more frequently.
When screening for CRC is planned, elderly subjects, those with family history for CRC, and those with low educational and lower income should be given especial attention in order that they be convinced to undergo screening for CRC.
本研究旨在调查结直肠癌（CRC）患者及其亲属对结肠镜筛查（SC）的认知情况。
准备了一份问卷，内容包括患者及其一级亲属（FDRs）的结肠镜筛查信息及行为。
共纳入406例CRC患者，其FDRs有1534人（兄弟姐妹1381人，父母153人）。12%的研究对象有CRC家族史阳性。11%的CRC患者曾接受过SC。FDRs接受过SC的患者平均年龄低于未接受过的患者（52岁对57岁；p<0.001）。35岁以下诊断为CRC的患者中，其FDRs接受SC的频率为64%。有CRC家族史阳性的人接受SC的比例更高（51%对22%，p<0.001）。教育水平和收入较高的患者的FDRs接受SC的频率更高。
在计划进行CRC筛查时，应特别关注老年人群、有CRC家族史的人群以及教育水平和收入较低的人群，以使他们相信并接受CRC筛查。
