Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy
dc.contributor.author | Viiala, C. | |
dc.contributor.author | Olynyk, John | |
dc.date.accessioned | 2017-01-30T11:53:43Z | |
dc.date.available | 2017-01-30T11:53:43Z | |
dc.date.created | 2016-09-12T08:36:24Z | |
dc.date.issued | 2008 | |
dc.identifier.citation | Viiala, C. and Olynyk, J. 2008. Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy. Patient Preference and Adherence. 2: pp. 27-33. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/16075 | |
dc.identifier.doi | 10.2147/PPA.S4705 | |
dc.description.abstract |
Objective: To determine factors influencing the low return rate observed in a program of flexible sigmoidoscopy for average risk screening for colorectal carcinoma. Methods: Flexible sigmoidoscopy-based screening of average risk 55-64 yr olds has been ongoing since 1995. Greater than 3400 primary and 1000 follow up screening examinations have been performed. Participants with a primary screen in 1997-1999 and eligible for rescreening in 2002-2004 were studied. A questionnaire assessing possible reasons for noncompliance was sent to subjects who did not attend the five year repeat screening. Results: 1672 primary screening flexible sigmoidoscopies were performed in 1997-1999 with 1362 being normal or having hyperplastic polyps only. The return rate was 45%: 48% of eligible males and 39% of eligible females had returned (p = 0.001 for difference). 709 questionnaires were mailed with a 50% response rate and 162 requests for repeat flexible sigmoidoscopy were generated. 27% of all respondents had undergone further bowel evaluation since the original normal sigmoidoscopy. Of eligible subjects who refused further screening, 65% did so because of concerns over procedural pain. Conclusions: Reasons for nonattendance relate to uptake of other bowel investigations and pain felt at initial screening. Return rate can be raised with ongoing prompting to attend screening. © 2008 Viiala and Olynyk, publisher and licensee Dove Medical Press Ltd. | |
dc.publisher | Dove Medical Press | |
dc.title | Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy | |
dc.type | Journal Article | |
dcterms.source.volume | 2 | |
dcterms.source.startPage | 27 | |
dcterms.source.endPage | 33 | |
dcterms.source.title | Patient Preference and Adherence | |
curtin.accessStatus | Open access via publisher | |
curtin.faculty | Faculty of Health Sciences |
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