Results of a pilot study of endoscopic screening of first degree relatives of colorectal cancer patients in Italy.

• DOI: 10.1136/jech.51.4.453
• Publication Date: 2008-11-12T20:10:54Z
• Authors: L Colombo; G Corti; F Magri; A Marocchi; P Brambilla; C Crespi; L Manieri; S Ghezzi; D Giannone; L Merlino; P Mocarelli
• Keywords: Sigmoidoscopy; First-degree relatives; Colorectal cancer screening

STUDY OBJECTIVE: Screening recommendations for colorectal cancer include sigmoidoscopy in asymptomatic, average risk persons aged 50 and over colonoscopy every three to five years high groups. Little is known about the eligible population's compliance with endoscopic screening. This first Italian report of an screening programme patients' relatives. DESIGN: In 1986, a pilot project by endoscopy subjects was started Desio (Milan, Italy) public health service region. The results obtained after seven are described. SETTING: names 536 inhabitants diagnosed between January 1975 December 1984 their relatives' addresses were from Regione Lombardia Health System records municipal registry offices respectively. PARTICIPANTS: From October 1986 1993, 778 degree relatives 20-75 offered colonoscopy. MAIN RESULTS: After years, 233 (29.9%) had undergone examination, mostly up splenic flexure. Being > 60 age at start negatively affected participation (p < 0.05). Two cancers detected adenomatous polyps found another 24 those screened (frequencies 0.9% 10.3% respectively). Male gender 0.05), increasing males 0.01), two or more females 0.01) positively frequency detection. CONCLUSION: These suggest that 30% population would comply least sigmoidoscopic collaboration family doctors widespread information ability cure necessary better compliance.