Gut Liver.
2017 Nov;11(6):821-827. 10.5009/gnl17025.
Patients' Preferences for Primary Colorectal Cancer Screening: A Survey of the National Colorectal Cancer Screening Program in Korea
- Affiliations
-
- 1Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea. drcha@khu.ac.kr
- 2Department of Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
- 3Department of Medicine, Korea University College of Medicine, Seoul, Korea.
- 4Department of Medicine, Inje University College of Medicine, Seoul, Korea.
- 5Department of Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
- 6Department of Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 7Department of Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
- 8Department of Medicine, Seoul National University Hospital, Seoul, Korea.
- 9Department of Medicine, Dankook University College of Medicine, Cheonan, Korea.
- 10Department of Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
- 11Department of Medicine, Hanyang University College of Medicine, Seoul, Korea.
- 12Center for Gastric Cancer, Goyang, Korea.
- 13Cancer Early Detection Branch, National Cancer Center, Goyang, Korea.
- KMID: 2395387
- DOI: http://doi.org/10.5009/gnl17025
Abstract
- BACKGROUND/AIMS
The adoption of colonoscopy as a primary colorectal cancer (CRC) screening technique has been argued for in Korea, without evidence of patient preferences. This study aimed to investigate patients' preferences for the primary CRC screening test for the National Cancer Screening Program (NCSP).
METHODS
Between June and August 2016, 414 individuals aged ≥50 years who participated in the NCSP were prospectively invited to complete a questionnaire regarding their preferences for the primary CRC screening test and the reasons for their selection.
RESULTS
Among the 396 respondents who completed the questionnaire, 124 individuals (31.3%) preferred the fecal immunochemical test (FIT), whereas 272 individuals (68.7%) preferred colonoscopy. Elderly participants preferred the FIT (p < 0.001), whereas participants with a higher education level (p=0.030), a higher income level (p=0.009), or individuals with a family member (p=0.028) or acquaintance (p=0.013) with a history of CRC preferred colonoscopy. Only 12.9% of participants had a bad experience with a previous FIT; however, 39.3% of participants had a bad experience with a previous colonoscopy.
CONCLUSIONS
Colonoscopy was preferred to FIT in a 2.2:1 ratio as the primary CRC screening test for the NCSP. Patients' preference for colonoscopy should be considered for the NCSP in Korea.
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