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Cited 12 time in webofscience Cited 13 time in scopus
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Patients' Preferences for Primary Colorectal Cancer Screening: A Survey of the National Colorectal Cancer Screening Program in Koreaopen access

Authors
Cho, Young-HakKim, Dae HoCha, Jae MyungJeen, Yoon TaeMoon, Jeong SeopKim, Jin-OhLee, Sang KilCho, Yu KyungIm, Jong PilJang, Jae YoungShin, Jeong EunYoon, Soon ManJung, YunhoKim, Eun SunLee, Kang NyeongCho, Soo-JeongKim, YeolPark, Bo Young
Issue Date
Nov-2017
Publisher
EDITORIAL OFFICE GUT & LIVER
Keywords
Colorectal neoplasms; Fecal occult blood test; Colonoscopy; Screening; Preference
Citation
GUT AND LIVER, v.11, no.6, pp.821 - 827
Indexed
SCIE
SCOPUS
KCI
Journal Title
GUT AND LIVER
Volume
11
Number
6
Start Page
821
End Page
827
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/4494
DOI
10.5009/gnl17025
ISSN
1976-2283
Abstract
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 >= 50 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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Kim, Eun Sun
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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