ArticleClinical epidemiology2018
Demographic and comorbidity predictors of adherence to diagnostic colonoscopy in the Danish Colorectal Cancer Screening Program: a nationwide cross-sectional study.
Article in Clinical epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prevalence of comorbidity in the lung cancer screening population: A systematic review and meta-analysis.Journal of medical screening · 2023Pooled it
- Increasing coverage in cervical and colorectal cancer screening by leveraging attendance at breast cancer screening: A cluster-randomised, crossover trial.PLoS medicine · 2024Trial
- Adherence to follow-up and resource use after abnormal FIT-screening: Evaluation of the Danish colorectal cancer screening program.Endoscopy international open · 2024Article
- Factors Associated With Nonadherence to Lung Cancer Screening Across Multiple Screening Time Points.JAMA network open · 2023Article
- Subsequent participation in organized FIT based screening following screen-derived colonoscopyPreventive medicine reports · 2023Article
- Observational
- Appropriateness of fecal immunochemical testing utilization for colorectal cancer screening at an academic center.Proceedings (Baylor University. Medical Center) · 2023Article
- Characteristics of nonparticipants in a randomised colorectal cancer screening trial comparing sigmoidoscopy and faecal immunochemical testing.International journal of cancer · 2022Article
- Risk-stratified selection to colonoscopy in FIT colorectal cancer screening: development and temporal validation of a prediction model.British journal of cancer · 2022Observational
- Disparities in Colorectal Cancer Screening Practices in a Midwest Urban Safety-Net Healthcare System.Digestive diseases and sciences · 2021Article
- Barriers to completing colonoscopy after a positive fecal occult blood test.Israel journal of health policy research · 2021Article
- Recognizing the role of psychiatric comorbidities: a response to the Danish Colorectal Screening Program.Clinical epidemiology · 2019Article
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Abstract
backgroundPredictors of participation in colorectal cancer screening with a stool sample screening modality have been widely studied, but adherence to subsequent diagnostic colonoscopy after a positive screening test has received less attention. We aimed to determine predictors of adherence to diagnostic colonoscopy in the Danish Colorectal Cancer Screening Program.
methodsWe conducted a cross-sectional study using data from National Health Service registries. We included 8,112 individuals invited to screening between March 3, 2014, and August 31, 2014, who had a positive immunochemical fecal occult blood test. Potential predictors were gender, age, region of residence, Charlson Comorbidity Index (CCI) score, specific diseases (cardiovascular disease, chronic pulmonary disease, diabetes, and cancer), and number of prior hospital stays. We estimated prevalence proportion differences (PPDs) for the associations between potential predictors and adherence.
resultsOverall, adherence to diagnostic colonoscopy was 88.6%. Adherence was lower in individuals aged 75 years compared with those aged <70 years, PPD=-4.20 (95% confidence interval [CI]: -6.19; -2.20). Adherence decreased with a higher level of comorbidity: PPD=-2.30 (95% CI: -3.87; -0.74) for a CCI score of 1-2 and PPD=-9.24 (95% CI: -12.30; -6.19) for a CCI score of ≥3 compared to 0. For specific diseases, adherence was decreased in those with a diagnosis of cardiovascular disease, chronic pulmonary disease, or diabetes, but less for cancer. When comorbidity was measured as number of prior hospital stays, the adjusted PPDs were -2.41 (95% CI: -4.43;-0.39) for one to two stays and -14.50 (95% CI: -20.30; -8.74) for three or more stays compared with no in-hospital stays.
conclusionMajor predictors of nonadherence to diagnostic colonoscopy after a positive immunochemical fecal occult blood test were older age, a CCI score of 1 or more, cardiovascular disease, chronic pulmonary disease, diabetes, and one or more in-hospital stays within the last year.
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