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    Uptake of population based flexible sigmoidoscopy screening for colorectal cancer: a nurse-led feasibility study

    Brotherstone, H. and Vance, M. and Edwards, R. and Miles, Anne and Robb, K.A. and Evans, R.E.C. and Wardle, J. and Atkin, W. (2007) Uptake of population based flexible sigmoidoscopy screening for colorectal cancer: a nurse-led feasibility study. Journal of Medical Screening 14 (2), pp. 76-80. ISSN 0969-1413.

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    Abstract

    Objective To assess uptake of once-only flexible sigmoidoscopy (FS) in a community sample to determine whether FS would be viable as a method of population-based screening for colorectal cancer. Methods All adults aged 60–64 years registered at three General Practices in North West London, UK (510 men and women) were sent a letter of invitation to attend FS screening carried out by an experienced nurse, followed by a reminder if they did not make contact to confirm or decline the invitation. The primary outcome was attendance at the endoscopy unit for a FS test. Results Of the 510 people invited to attend, 280 (55%) underwent FS. Among non-attenders, 91 (18%) were ineligible for screening or did not receive the invitation, 19 (4%) accepted the offer of screening but were unable to attend during the study period, 52 (10%) declined the offer, 41 (8%) did not respond to the invitation, and 27 (5%) accepted the offer of screening but did not attend. Attendance among those eligible to be screened, who had received the invitation, was 67%. People from more socioeconomically deprived neighbourhoods were less likely to attend (odds ratio [OR] ¼ 0.90; confidence interval [CI] ¼ 0.84–0.96; P ¼ 0.003). Women were more likely to attend than men (OR ¼ 1.44; CI ¼ 1.01–2.05; P ¼ 0.041). Conclusions Attendance rates in this pilot for nurse-led, population-based FS screening were higher than those reported in other FS studies, and comparable with adherence to fecal occult blood testing (FOBT) in the UK FOBT pilot. Having a female nurse endoscopist may have been responsible for increasing female uptake rates but this warrants confirmation in a larger study.

    Metadata

    Item Type: Article
    School: Birkbeck Schools and Departments > School of Science > Psychological Sciences
    Depositing User: Sarah Hall
    Date Deposited: 07 Jan 2020 14:02
    Last Modified: 07 Jan 2020 14:02
    URI: http://eprints.bbk.ac.uk/id/eprint/30524

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