Colorectal cancer screening in Australia: a community-level perspective

The Medical Journal of Australia
Ryan J CourtneyMark A McEvoy

Abstract

To determine current colorectal cancer (CRC) screening rates and the level of adherence to screening guidelines @a community level. A cross-sectional cohort of at-risk people aged 56-88 years randomly selected from the Hunter Community Study (HCS), Australia. Proportion ever reporting undertaking any CRC testing; current screening rates for each CRC screening modality; level of screening in accordance with national screening guidelines. Of the 1117 participants (70%) who returned a questionnaire, 777 were deemed asymptomatic and eligible for analysis. Overall, 63% of respondents had ever received any CRC testing. Forty-three per cent had ever had a faecal occult blood test (20% screened in the previous 2 years); 30% had ever had a colonoscopy (16% screened in the previous 5 years); and 7% had ever had a sigmoidoscopy (1% screened in the previous 5 years). Rates of adherence to screening guidelines were 21% for respondents who were @or slightly above average risk, and 45% for respondents who were @moderately increased or potentially high risk. Rates of CRC screening remain low. The screening rate for colonoscopy was particularly high among people who were @or slightly above average risk, despite such screening not being endorsed...Continue Reading

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Citations

Jan 15, 2015·Internal Medicine Journal·B A Leggett, D G Hewett
Sep 15, 2016·Australian and New Zealand Journal of Public Health·Mariko CareyChristopher Doran
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May 11, 2012·The Medical Journal of Australia·Ian N Olver, Graeme P Young

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