Screening for colorectal cancer by once only sigmoidoscopy: a feasibility study in Turin, Italy.
J Med Screen
; 3(2): 72-8, 1996.
Article
en En
| MEDLINE
| ID: mdl-8849763
ABSTRACT
OBJECTIVES:
To assess the impact on compliance of three invitation methods, as well as the acceptability and efficacy of two bowel preparation regimens, for endoscopic screening in the general population.METHODS:
1170 subjects (men and women aged 55 to 59, in the rosters of a sample of general practitioners (GPs) in Turin), were randomly allocated to one of three invitation groups (A personal letter, signed by GP, with a pre-fixed appointment; B same as for A + letter supporting the study by a well known scientist; C letter signed by the study coordinator, NS) and two preparation regimens (i one enema, self administered at home two hours before the test; ii two enemas, administered the night before and two hours before the test). A postal reminder was mailed to non-attenders. A sample of non-responders was contacted for a telephone interview by a trained nurse. Written consent was obtained from all subjects undergoing the test.RESULTS:
A total of 278 subjects attended for sigmoidoscopic screening. An invitation from the GP alone produced the highest response rate (compliance A = 29.3%; B = 24.9%; C = 26.8%). A single enema was as effective as two enemas in achieving satisfactory preparation for the test the proportion of subjects invited to repeat the test was 8.1% in the single enema group, and 9.6% in the group receiving two enemas.CONCLUSIONS:
Compliance with this screening procedure tends to be low. One enema, self administered two hours before sigmoidoscopy, can ensure a satisfactory bowel preparation.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias Colorrectales
/
Tamizaje Masivo
/
Sigmoidoscopía
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Med Screen
Asunto de la revista:
EPIDEMIOLOGIA
/
SAUDE PUBLICA
Año:
1996
Tipo del documento:
Article
País de afiliación:
Italia