000			03864nam a22005177a 4500
008			240723s20242024 xxu||||| |||| 00| 0 eng d
022			_a0012-3706
024			_a00003453-990000000-00608 [pii]
040			_aOvid MEDLINE(R)
099			_a38502565
245			_aLow Rates of Colorectal Cancer Screening in Our Patients' First-Degree Relatives: Are We Failing Them?.
251			_aDiseases of the Colon & Rectum. 2024 Mar 19
252			_aDis Colon Rectum. 2024 Mar 19
253			_aDiseases of the colon and rectum
260			_c2024
260			_p2024 Mar 19
265			_saheadofprint
265			_tPublisher
266			_d2024-07-23
501			_aAvailable online from MWHC library: 1997 - present, Available in print through MWHC library: 1999 - 2006
520			_aBACKGROUND: Guidelines recommend screening those with a family history of early-onset colorectal cancer at age 40 or 10 years before the age of their relative's diagnosis. Currently, there is no literature reporting the screening rate in these individuals and no protocols are in place to identify and target this population for screening awareness.
520			_aCONCLUSIONS: Most first-degree relatives of patients diagnosed with early-onset colorectal cancer do not undergo colorectal cancer screening. This could be attributed to the lack of protocols that could guarantee these individuals are informed of their elevated risk and the different options available for screening. Furthermore, our study suggests that racial and socioeconomic disparities exist among high-risk patients who should pursue screening. See Video Abstract. Copyright © The ASCRS 2024.
520			_aDESIGN: Retrospective and qualitative study involving a telephone survey where patients were asked about relative's screening status and barriers to screening.
520			_aLIMITATIONS: Retrospective design.
520			_aMAIN OUTCOME MEASURES: Rate of screening in first-degree relatives of our patients with early-onset colorectal cancer. Other factors measured included demographics, clinicopathologic characteristics and screening barriers.
520			_aOBJECTIVE: Assess adherence to current screening guidelines among FDRs of patients with early-onset colorectal cancer.
520			_aPATIENTS: Individuals diagnosed with early-onset colorectal cancer who had undergone surgery at our institutions.
520			_aRESULTS: Thirty-six patients were identified. Survey response rate was 66.6% (n=24). A total of 88 first-degree relatives who met criteria for screening resulted, with 67.1% (n=59) having a known screening status. Of the 59 with known screening status, it was reported that only 44% (n=26) have undergone screening. Patients of African American race, stage III/IV disease, Medicare/Medicaid and living within Baltimore City County were more likely to have family members with unknown or no screening. Lack of insurance coverage was the most common barrier noted 12.5% (n=3); whereas 54.1% (n=13) reported no barriers to screening.
520			_aSETTINGS: Two community-based institutions between January 2018-December 2021.
546			_aEnglish
650			_zAutomated
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Franklin Square Medical Center
656			_aGeneral Surgery Residency
656			_aSurgery
657			_aJournal Article
700			_aAlmanzar, Anyelin _bMFSMC
700			_aAlnajjar, Said _bMFSMC _cGeneral Surgery Residency _dMD
700			_aGupta, Vinay _bMFSMC
700			_aLisle, David _bMFSMC
700			_aShoucair, Sami _bMFSMC
700			_aZheng, Christina _bMFSMC
790			_aAlmanzar A, Dahmani SL, Shoucair S, Alnajjar S, Zheng C, Gupta V, Lisle D
856			_uhttps://dx.doi.org/10.1097/DCR.0000000000003189 _zhttps://dx.doi.org/10.1097/DCR.0000000000003189
942			_cART _dArticle
999			_c14210 _d14210