Screening patients with a family history of colorectal cancer.

Screening patients with a family history of colorectal cancer. Research Abstract Details 

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Screening patients with a family history of colorectal cancer. Abstract Text:

Robert H Fletcher,Rebecca Lobb,Mark R Bauer,James Alan Kemp,Richard C Palmer,Ken P Kleinman,Irina Miroshnik,Karen M Emmons,

OBJECTIVES: To compare screening practices and beliefs in patients with and without a clinically important family history. DESIGN: We mailed a brief questionnaire asking about family history and a second, longer survey asking about knowledge of and beliefs about colorectal cancer to all respondents with a family history and a random sample of respondents without a family history of colorectal cancer. We reviewed electronic medical records for screening examinations and recording of family history. PARTICIPANTS: One thousand eight hundred seventy of 6,807 randomly selected patients ages 35-55 years who had been continuously enrolled in a large multispecialty group practice for at least 5 years. MEASUREMENTS: Recognition of increased risk, screening practices, and beliefs-all according to strength of family history and patient's age. RESULTS: Nineteen percent of respondents reported a family history of colorectal cancer. In 11%, this history was strong enough to warrant screening before age 50 years. However, only 39% (95% CI 36, 42) of respondents under the age of 50 years said they had been asked about family history and only 45% of those with a strong family history of colorectal cancer had been screened appropriately. Forty-six percent of patients with a strong family history did not know that they should be screened at a younger age than average risk people. Medical records mentioned family history of colorectal cancer in 59% of patients reporting a family history. CONCLUSIONS: More efforts are needed to translate information about family history of colorectal cancer into the care of patients.

Screening patients with a family history of colorectal cancer. Publishing Authors By Initials

RH Fletcher,R Lobb,MR Bauer,JA Kemp,RC Palmer,KP Kleinman,I Miroshnik,KM Emmons,

For similar persons: age groups: adult: middle aged research abstracts see: persons: age groups: adult: middle aged research

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Screening patients with a family history of colorectal cancer. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of general internal medicine : official jo

VOLUME: 22

Page Numbers: 508-13

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ISSN: 1525-1497

DAY: 3

MONTH: Apr

YEAR: 2007

Screening patients with a family history of colorectal cancer. Information

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LANGUAGE: eng

NlmUniqueID: 8605834

Screening patients with a family history of colorectal cancer. Keywords Mesh Terms:

KEYWORDS: Middle Aged

MESH TERMS: methods

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Grant and Affiliation Information for Screening patients with a family history of colorectal cancer.

AFFILIATION: Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, and Harvard Vanguard Medical Associates, Boston, MA, USA. Robert_Fletcher@hms.harvard.edu

Country: United States

AGENCY: United States NCI

GRANT: 1 R21 CA102381-01

ACRONYM: CA

MEDLINETA: J Gen Intern Med

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