Patients' preferences for primary colorectal cancer screening

A survey of the national colorectal cancer screening program in Korea

Young Hak Cho, Dae Ho Kim, Jae Myung Cha, Yoon Tae Jeen, Jeong Seop Moon, Jin Oh Kim, Sang Kil Lee, Yu Kyung Cho, Jong Pil Im, Jae Young Jang, Jeong Eun Shin, Soon Man Yoon, Yunho Jung, Eun-Sun Kim, Kang Nyeong Lee, Soo Jeong Cho, Yeol Kim, Bo Young Park

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)821-827
Number of pages7
JournalGut and Liver
Volume11
Issue number6
DOIs
Publication statusPublished - 2017 Nov 1

Fingerprint

Patient Preference
Korea
Early Detection of Cancer
Colorectal Neoplasms
Colonoscopy
Surveys and Questionnaires
Education

Keywords

  • Colonoscopy
  • Colorectal neoplasms
  • Fecal occult blood test
  • Preference
  • Screening

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Patients' preferences for primary colorectal cancer screening : A survey of the national colorectal cancer screening program in Korea. / Cho, Young Hak; Kim, Dae Ho; Cha, Jae Myung; Jeen, Yoon Tae; Moon, Jeong Seop; Kim, Jin Oh; Lee, Sang Kil; Cho, Yu Kyung; Im, Jong Pil; Jang, Jae Young; Shin, Jeong Eun; Yoon, Soon Man; Jung, Yunho; Kim, Eun-Sun; Lee, Kang Nyeong; Cho, Soo Jeong; Kim, Yeol; Park, Bo Young.

In: Gut and Liver, Vol. 11, No. 6, 01.11.2017, p. 821-827.

Research output: Contribution to journalArticle

Cho, YH, Kim, DH, Cha, JM, Jeen, YT, Moon, JS, Kim, JO, Lee, SK, Cho, YK, Im, JP, Jang, JY, Shin, JE, Yoon, SM, Jung, Y, Kim, E-S, Lee, KN, Cho, SJ, Kim, Y & Park, BY 2017, 'Patients' preferences for primary colorectal cancer screening: A survey of the national colorectal cancer screening program in Korea', Gut and Liver, vol. 11, no. 6, pp. 821-827. https://doi.org/10.5009/gnl17025
Cho, Young Hak ; Kim, Dae Ho ; Cha, Jae Myung ; Jeen, Yoon Tae ; Moon, Jeong Seop ; Kim, Jin Oh ; Lee, Sang Kil ; Cho, Yu Kyung ; Im, Jong Pil ; Jang, Jae Young ; Shin, Jeong Eun ; Yoon, Soon Man ; Jung, Yunho ; Kim, Eun-Sun ; Lee, Kang Nyeong ; Cho, Soo Jeong ; Kim, Yeol ; Park, Bo Young. / Patients' preferences for primary colorectal cancer screening : A survey of the national colorectal cancer screening program in Korea. In: Gut and Liver. 2017 ; Vol. 11, No. 6. pp. 821-827.
@article{5db999c0c1b842ed94e08292be569fa0,
title = "Patients' preferences for primary colorectal cancer screening: A survey of the national colorectal cancer screening program in Korea",
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.",
keywords = "Colonoscopy, Colorectal neoplasms, Fecal occult blood test, Preference, Screening",
author = "Cho, {Young Hak} and Kim, {Dae Ho} and Cha, {Jae Myung} and Jeen, {Yoon Tae} and Moon, {Jeong Seop} and Kim, {Jin Oh} and Lee, {Sang Kil} and Cho, {Yu Kyung} and Im, {Jong Pil} and Jang, {Jae Young} and Shin, {Jeong Eun} and Yoon, {Soon Man} and Yunho Jung and Eun-Sun Kim and Lee, {Kang Nyeong} and Cho, {Soo Jeong} and Yeol Kim and Park, {Bo Young}",
year = "2017",
month = "11",
day = "1",
doi = "10.5009/gnl17025",
language = "English",
volume = "11",
pages = "821--827",
journal = "Gut and Liver",
issn = "1976-2283",
publisher = "Joe Bok Chung",
number = "6",

}

TY - JOUR

T1 - Patients' preferences for primary colorectal cancer screening

T2 - A survey of the national colorectal cancer screening program in Korea

AU - Cho, Young Hak

AU - Kim, Dae Ho

AU - Cha, Jae Myung

AU - Jeen, Yoon Tae

AU - Moon, Jeong Seop

AU - Kim, Jin Oh

AU - Lee, Sang Kil

AU - Cho, Yu Kyung

AU - Im, Jong Pil

AU - Jang, Jae Young

AU - Shin, Jeong Eun

AU - Yoon, Soon Man

AU - Jung, Yunho

AU - Kim, Eun-Sun

AU - Lee, Kang Nyeong

AU - Cho, Soo Jeong

AU - Kim, Yeol

AU - Park, Bo Young

PY - 2017/11/1

Y1 - 2017/11/1

N2 - 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.

AB - 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.

KW - Colonoscopy

KW - Colorectal neoplasms

KW - Fecal occult blood test

KW - Preference

KW - Screening

UR - http://www.scopus.com/inward/record.url?scp=85038947817&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85038947817&partnerID=8YFLogxK

U2 - 10.5009/gnl17025

DO - 10.5009/gnl17025

M3 - Article

VL - 11

SP - 821

EP - 827

JO - Gut and Liver

JF - Gut and Liver

SN - 1976-2283

IS - 6

ER -