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Article: A comparison of the acceptance of immunochemical faecal occult blood test and colonoscopy in colorectal cancer screening: A prospective study among Chinese
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TitleA comparison of the acceptance of immunochemical faecal occult blood test and colonoscopy in colorectal cancer screening: A prospective study among Chinese
 
AuthorsWong, MCS2
Tsoi, KKF2
Ng, SSM2
Lou, VWQ1
Choi, SYP3
Ling, KWK2
Chan, FKL2
Griffiths, SM2
Sung, JJY2
 
KeywordsMedical sciences
Gastroenterology
 
Issue Date2010
 
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT
 
CitationAlimentary Pharmacology And Therapeutics, 2010, v. 32 n. 1, p. 74-82 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1365-2036.2010.04312.x
 
AbstractBackground Preferences to choose immunochemical faecal occult blood test (FIT) and colonoscopy as colorectal cancer (CRC) screening modalities among asymptomatic Chinese subjects remain unknown. Aim To evaluate the preference of choosing colonoscopy vs. FIT among CRC screening participants. Methods From a community-based CRC screening programme for asymptomatic Hong Kong Chinese aged 50-70 years, participants attended standardized educational sessions and chose the options of annual FIT for 5 years or direct colonoscopy once. Factors associated with choosing colonoscopy were evaluated by multivariate regression analysis. Results Among 3430 participants [mean age 56.8 years (s.d. 5.0); female 55.1%, male 44.9%], 51.3% chose colonoscopy and 48.7% chose FIT. Older participants (65-70 years) were less likely to choose colonoscopy [adjusted odds ratio (aOR) 0.731, P = 0.041]. Subjects who chose colonoscopy were those disagreed screening would lead to discomfort (aOR 1.356, P < 0.001), had relatives or friends who had CRC (first degree relatives aOR 1.679, P < 0.001; second degree relatives aOR 1.304, P = 0.019; friends or others aOR 1.252, P = 0.026) and those who self-perceived their health as poor (aOR 1.529, P = 0.025). Conclusions Faecal occult blood test and direct colonoscopy were equally preferable to Chinese. Colonoscopy was preferred among the younger subjects, those with positive family history of CRC and self-perceived poor health status. © 2010 Blackwell Publishing Ltd.
 
ISSN0269-2813
2012 Impact Factor: 4.548
2012 SCImago Journal Rankings: 1.689
 
DOIhttp://dx.doi.org/10.1111/j.1365-2036.2010.04312.x
 
ISI Accession Number IDWOS:000278393900009
Funding AgencyGrant Number
Hong Kong Jockey Club Charities Trust7103242
Funding Information:

Declaration of personal interests: Prof. Joseph Sung has served as a speaker for AstraZeneca, GSK and Nycomed, and an advisory board member for AstraZeneca, Schering Plough and Novartis. We thank all the participants who have contributed to this study. The abstract of this article was accepted for presentation by the United European Gastroenterology Week, 2009. Declaration of funding interests: This study was funded in full by the Hong Kong Jockey Club Charities Trust through the 'Bowel Cancer in Hong Kong: Education, Promotion and Screening' (project code: 7103242).

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorWong, MCS
 
dc.contributor.authorTsoi, KKF
 
dc.contributor.authorNg, SSM
 
dc.contributor.authorLou, VWQ
 
dc.contributor.authorChoi, SYP
 
dc.contributor.authorLing, KWK
 
dc.contributor.authorChan, FKL
 
dc.contributor.authorGriffiths, SM
 
dc.contributor.authorSung, JJY
 
dc.date.accessioned2010-08-05T02:18:55Z
 
dc.date.available2010-08-05T02:18:55Z
 
dc.date.issued2010
 
dc.description.abstractBackground Preferences to choose immunochemical faecal occult blood test (FIT) and colonoscopy as colorectal cancer (CRC) screening modalities among asymptomatic Chinese subjects remain unknown. Aim To evaluate the preference of choosing colonoscopy vs. FIT among CRC screening participants. Methods From a community-based CRC screening programme for asymptomatic Hong Kong Chinese aged 50-70 years, participants attended standardized educational sessions and chose the options of annual FIT for 5 years or direct colonoscopy once. Factors associated with choosing colonoscopy were evaluated by multivariate regression analysis. Results Among 3430 participants [mean age 56.8 years (s.d. 5.0); female 55.1%, male 44.9%], 51.3% chose colonoscopy and 48.7% chose FIT. Older participants (65-70 years) were less likely to choose colonoscopy [adjusted odds ratio (aOR) 0.731, P = 0.041]. Subjects who chose colonoscopy were those disagreed screening would lead to discomfort (aOR 1.356, P < 0.001), had relatives or friends who had CRC (first degree relatives aOR 1.679, P < 0.001; second degree relatives aOR 1.304, P = 0.019; friends or others aOR 1.252, P = 0.026) and those who self-perceived their health as poor (aOR 1.529, P = 0.025). Conclusions Faecal occult blood test and direct colonoscopy were equally preferable to Chinese. Colonoscopy was preferred among the younger subjects, those with positive family history of CRC and self-perceived poor health status. © 2010 Blackwell Publishing Ltd.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationAlimentary Pharmacology And Therapeutics, 2010, v. 32 n. 1, p. 74-82 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1365-2036.2010.04312.x
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1365-2036.2010.04312.x
 
dc.identifier.epage82
 
dc.identifier.hkuros171237
 
dc.identifier.isiWOS:000278393900009
Funding AgencyGrant Number
Hong Kong Jockey Club Charities Trust7103242
Funding Information:

Declaration of personal interests: Prof. Joseph Sung has served as a speaker for AstraZeneca, GSK and Nycomed, and an advisory board member for AstraZeneca, Schering Plough and Novartis. We thank all the participants who have contributed to this study. The abstract of this article was accepted for presentation by the United European Gastroenterology Week, 2009. Declaration of funding interests: This study was funded in full by the Hong Kong Jockey Club Charities Trust through the 'Bowel Cancer in Hong Kong: Education, Promotion and Screening' (project code: 7103242).

 
dc.identifier.issn0269-2813
2012 Impact Factor: 4.548
2012 SCImago Journal Rankings: 1.689
 
dc.identifier.issue1
 
dc.identifier.openurl
 
dc.identifier.pmid20345501
 
dc.identifier.scopuseid_2-s2.0-77953179576
 
dc.identifier.spage74
 
dc.identifier.urihttp://hdl.handle.net/10722/65437
 
dc.identifier.volume32
 
dc.languageeng
 
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofAlimentary Pharmacology and Therapeutics
 
dc.relation.referencesReferences in Scopus
 
dc.rightsAlimentary Pharmacology and Therapeutics. Copyright © Blackwell Publishing Ltd.
 
dc.rightsThe definitive version is available at www.blackwell-synergy.com
 
dc.subjectMedical sciences
 
dc.subjectGastroenterology
 
dc.titleA comparison of the acceptance of immunochemical faecal occult blood test and colonoscopy in colorectal cancer screening: A prospective study among Chinese
 
dc.typeArticle
 
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<contributor.author>Lou, VWQ</contributor.author>
<contributor.author>Choi, SYP</contributor.author>
<contributor.author>Ling, KWK</contributor.author>
<contributor.author>Chan, FKL</contributor.author>
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<description.abstract>Background Preferences to choose immunochemical faecal occult blood test (FIT) and colonoscopy as colorectal cancer (CRC) screening modalities among asymptomatic Chinese subjects remain unknown. Aim To evaluate the preference of choosing colonoscopy vs. FIT among CRC screening participants. Methods From a community-based CRC screening programme for asymptomatic Hong Kong Chinese aged 50-70 years, participants attended standardized educational sessions and chose the options of annual FIT for 5 years or direct colonoscopy once. Factors associated with choosing colonoscopy were evaluated by multivariate regression analysis. Results Among 3430 participants [mean age 56.8 years (s.d. 5.0); female 55.1%, male 44.9%], 51.3% chose colonoscopy and 48.7% chose FIT. Older participants (65-70 years) were less likely to choose colonoscopy [adjusted odds ratio (aOR) 0.731, P = 0.041]. Subjects who chose colonoscopy were those disagreed screening would lead to discomfort (aOR 1.356, P &lt; 0.001), had relatives or friends who had CRC (first degree relatives aOR 1.679, P &lt; 0.001; second degree relatives aOR 1.304, P = 0.019; friends or others aOR 1.252, P = 0.026) and those who self-perceived their health as poor (aOR 1.529, P = 0.025). Conclusions Faecal occult blood test and direct colonoscopy were equally preferable to Chinese. Colonoscopy was preferred among the younger subjects, those with positive family history of CRC and self-perceived poor health status. &#169; 2010 Blackwell Publishing Ltd.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong
  2. Prince of Wales Hospital Hong Kong
  3. Chinese University of Hong Kong