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Screening for colorectal cancer in defunctioned colons
Fayyaz Akbar1, Aaron Quyn2, Robert Steele3
11 Shrewsbury and Telford Hospital NHS Trust, Colorectal Surgery, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK.
Journal of Medical Screening
|May 3, 2018
Summary
Colorectal cancer screening is not offered to most patients with defunctioned colons in the UK. Current practices for screening these individuals vary significantly, highlighting a gap in care for bowel cancer detection.
Area of Science:
- Oncology
- Gastroenterology
- Public Health
Background:
- Population-based colorectal cancer screening reduces mortality.
- Standard faecal occult blood tests are unsuitable for patients with defunctioned colons.
Purpose of the Study:
- To investigate current clinical practices for colorectal cancer screening in individuals with defunctioned colons.
- To identify trends and gaps in screening protocols for this specific patient group.
Main Methods:
- An online survey was distributed to members of the Association of Coloproctology of Great Britain and Ireland.
- Responses were collected over six weeks, including follow-ups for non-responders.
Main Results:
- Over 34% of surveyed colorectal surgeons responded.
- More than 50% of respondents had encountered colorectal cancer in patients with defunctioned colons.
- 72.2% of responders indicated that screening is not currently offered or its availability is unknown in their area.
Conclusions:
- Colorectal cancer screening is not accessible to a significant portion of the UK population with defunctioned colons.
- Clinical practice regarding screening protocols (age, interval, modality) for patients with defunctioned colons shows considerable variability.
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