KMID : 1188320170110060821
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Gut and Liver 2017 Volume.11 No. 6 p.821 ~ p.827
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Patients¡¯ Preferences for Primary Colorectal Cancer Screening: A Survey of the National Colorectal Cancer Screening Program in Korea
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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 Yun-Ho Kim Eun-Sun Lee Kang-Nyeong Cho Soo-Jeong Kim Yeol Park Bo-Young
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Abstract
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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 ¡Ã50 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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KEYWORD
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Colorectal neoplasms, Fecal occult blood test, Colonoscopy, Screening, Preference
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