Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy
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 an...
| Main Authors: | , |
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| Format: | Journal Article |
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Dove Medical Press
2008
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| Online Access: | http://hdl.handle.net/20.500.11937/16075 |
| _version_ | 1848749069493600256 |
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| author | Viiala, C. Olynyk, John |
| author_facet | Viiala, C. Olynyk, John |
| author_sort | Viiala, C. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:15:04Z |
| format | Journal Article |
| id | curtin-20.500.11937-16075 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:15:04Z |
| publishDate | 2008 |
| publisher | Dove Medical Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-160752017-09-13T14:06:27Z Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy Viiala, C. Olynyk, John 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. 2008 Journal Article http://hdl.handle.net/20.500.11937/16075 10.2147/PPA.S4705 Dove Medical Press unknown |
| spellingShingle | Viiala, C. Olynyk, John Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| title | Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| title_full | Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| title_fullStr | Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| title_full_unstemmed | Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| title_short | Reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| title_sort | reasons for noncompliance with five-yearly screening flexible sigmoidoscopy |
| url | http://hdl.handle.net/20.500.11937/16075 |