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Screening for colorectal cancer: a general-practice-based study

J Marjoram1, R Strachan, A Allan

  • 1Hawthorns Surgery, Sutton Coldfield.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|May 1, 1996
PubMed
Summary
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General practices can effectively implement colorectal cancer screening using the Haemoccult test. This study demonstrates a successful model for early detection and patient participation in screening programs.

Area of Science:

  • Oncology
  • Public Health
  • Gastroenterology

Background:

  • A 2-year study evaluated faecal occult blood screening for colorectal cancer in a UK general practice without a prior hospital-based program.
  • The screening initiative was developed in collaboration with Good Hope Hospital Trust, involving practice staff and hospital departments.

Purpose of the Study:

  • To establish a model for general practices in north Birmingham to screen selected populations for colorectal cancer.
  • To assess the feasibility and patient acceptability of a community-based colorectal cancer screening program.

Main Methods:

  • A Haemoccult test kit was mailed to 3509 patients, following the design of the Medical Research Council colorectal screening trial.
  • Patient acceptability was assessed via questionnaires sent to responders and non-responders.

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  • The study involved collaboration between general practice staff and hospital departments.

    • Main Results:

    • The screening program achieved a 55.4% response rate.
    • Thirty-nine patients were referred for further investigation.
    • Colonoscopy revealed nine adenomas and 12 colorectal carcinomas.

    Conclusions:

    • The study indicates that this Haemoccult screening method can serve as a model for other general practices.
    • The findings support the integration of general practice-based screening for colorectal cancer.
    • Successful implementation requires collaboration between primary care and hospital services.