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Problems in screening colorectal cancer in the elderly
Davidović M Mladen1, Milosevic P Dragoslav, Zdravkovic Sanja
1Center of Geriatric Medicine, 11050 Beograd, Rifata Burdzevica 31, Yugoslavia. davidovi@EUnet.yu
World Journal of Gastroenterology
|October 17, 2003
Summary
Screening for colorectal cancer in the elderly faces challenges due to poor understanding of procedures. Cooperation for endoscopic check-ups is higher in hospitalized patients compared to community-dwelling older adults.
Area of Science:
- Gerontology
- Gastroenterology
- Oncology
Background:
- Colorectal cancer screening in the elderly is crucial for early detection.
- Understanding barriers to screening participation in older adults is essential.
Purpose of the Study:
- To investigate challenges in colorectal cancer screening among elderly populations.
- To compare the effectiveness of different screening models in older adults.
Main Methods:
- Examined three colorectal cancer prevention models: standard screening, active check-up, and endoscopic follow-up for polyps.
- Assessed three groups of elderly individuals: hospitalized asymptomatic, community-dwelling with symptoms, and those with diagnosed polyps.
- Performed 1788 rectosigmoidoscopies, identifying polyps and cancer in participants.
Main Results:
- One colorectal cancer and 13 polyps were detected in hospitalized asymptomatic individuals.
- Two polyps were found in community-dwelling elderly, with low endoscopy participation.
- No polyp recurrences were observed in the small group of elderly patients with diagnosed polyps who underwent follow-up endoscopy.
Conclusions:
- Limited comprehension of screening protocols significantly hinders early colorectal cancer detection in the aged.
- Hospitalized elderly patients demonstrate better adherence to screening procedures than their community-dwelling counterparts.