Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, CA 92093-0901, USA.
Am J Gastroenterol. 2012 Sep;107(9):1288-95. doi: 10.1038/ajg.2012.55.
A personal or family history of colorectal adenomas increases the risk of colorectal cancer (CRC). We aimed to compare physicians' communication with polyp patients vs. non-polyp patients, assess whether polyps or CRC family history were associated with physician-patient communication, and describe patients' disclosure of colonoscopy and polyp diagnosis to their relatives.
Four hundred nine patients completed an online survey regarding physician-patient communication of colonoscopy results, perceived personal and familial risk of polyps and CRC, and disclosure of colonoscopy results to relatives.
Six percent of participants reported that their physicians discussed familial risks. Polyp diagnosis and family history predicted physician-patient discussions about familial CRC risks. Polyp diagnosis predicted physician-patient discussions of future surveillance. Twenty-two percent of patients told none of their relatives that they had a colonoscopy. Family history, gender, and education were associated with patient-family communication.
There is room for improvement in physician-patient and patient-family communication following colonoscopy.
结直肠腺瘤的个人或家族史会增加结直肠癌（CRC）的风险。我们旨在比较医生与息肉患者和非息肉患者的沟通情况，评估息肉或 CRC 家族史是否与医患沟通有关，并描述患者向亲属透露结肠镜检查和息肉诊断的情况。
409 名患者完成了一项关于结肠镜检查结果的医患沟通、个人和家族息肉和 CRC 风险感知以及向亲属透露结肠镜检查结果的在线调查。
6%的参与者报告说他们的医生讨论了家族风险。息肉诊断和家族史预测了医生与患者讨论家族 CRC 风险的情况。息肉诊断预测了医生与患者讨论未来监测的情况。22%的患者没有告诉任何亲属他们做过结肠镜检查。家族史、性别和教育与患者与家属的沟通有关。
结肠镜检查后，医患沟通和患者与家属沟通仍有改进的空间。
