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Minority patients prefer optical colonoscopy for colorectal cancer screening
Date:11/1/2007

white patients experienced the least severity of abdominal pain while Hispanic participants experienced the greatest pain. Black and Hispanic patients felt significantly more embarrassed during CT colonography than did white patients or participants from other racial/ethnic minorities. White participants were significantly more satisfied with CT colonography than other study participants.

The study included 272 participants from diverse racial/ethnic backgrounds including non-Hispanic whites, non-Hispanic blacks, Hispanic individuals and those who self-identified as other. All participants completed both OC and CT colonography. The most common reason participants who were white or who designated their race/ethnicity as other were undergoing colonoscopy was screening. In participants who were black, the most common indication for colonoscopy was a positive fecal occult blood test (FOBT) and in patients who were Hispanic, the most common reasons were hematochezia (blood in the stool) or iron deficiency anemia.

Guidelines from multiple agencies and professional societies, including the AGA Institute, underscore the importance of colorectal cancer screening for all individuals 50 years of age and older (younger for certain groups known to be at higher risk). The U.S. Preventive Services Task Force, the U.S. Multi-Specialty Task Force and others have published recommendations for screening for colorectal cancer, the second-leading cause of cancer deaths in the United States. Currently, recommended screening tests include colonoscopy, flexible sigmoidoscopy, barium enema and fecal occult blood tests.

In September, the AGA Institute issued standards for performance of virtual, or CT, colonography. The AGA Institute will hold a course of CT Colonography on March 7 8, 2008, in Washington, DC. To learn more about AGA Institute initiatives on CTC, please visit the AGA Web site at www.gastro.org.


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Contact: Aimee Frank
media@gastro.org
301-941-2620
American Gastroenterological Association
Source:Eurekalert

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