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Home >> News >> Colorectal Cancer



Colorectal Cancer

Psychosocial Resources

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Colorectal Cancer Association of Canada

March is Colorectal Cancer Awareness Month
Colorectal Cancer Association of Canada's new screening campaign: SAVEBUTTS.CA.

Screening for Colorectal Cancer: A Guidance Statement From the American College of Physicians
Annals of Internal Medicine, March 6, 2012 vol. 156 no. 5 378-386

The patient summary version is here.
Screening Program Aims to Catch Colon Cancer Cases
CBC News, July 23, 2012 - A new colon cancer screening program is being rolled out in western Newfoundland. The provincial government announced Monday it will be mailing out "do-it-yourself kits" to try to catch the cancer early. Full story here.

Patients aren't getting the information they want

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Aug. 25, 2011: In a recent study conducted in the American mid-west, 415 patients aged 50 to 80, who were due for colorectal cancer (CRC) screening, completed a survey to find out what information they looked for when making a decision about screening. Patients said these factors were very important:
* pros and cons of testing (86%)
* test accuracy (85%)
* testing alternatives (83%)
* testing process (78%)

The study, headed by Susan Flockel, Case Western Reserve University in Cleveland, Ohio, then convened to 64 primary care physician’s office, where audio was recorded for analysis. Although 91% of visits included a discussion about CRC screening, only 5% of physicians asked patients if they had questions about screening. Almost half (49%) of patients asked a screening question, mostly to do with logistics.

The researchers conclude that “Audio recordings confirm that discussions of CRC screening are often lacking information that patients indicate is very important when making preventive health decisions and patient questions during the visit are not eliciting information to fill the gap. These findings provide actionable information to improve CRC screening discussions. ”

Source: Patient Rated Importance and Receipt of Information for Colorectal Cancer Screening, Cancer Epidemioogy, Biomarkers & Prevevention, Published OnlineFirst August 3, 2011; doi: 10.1158/1055-9965.EPI-11-0281

Unmet needs

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Psychosocial and information needs of people affected by colorectal cancer are poorly met during follow-up
Evidence Based Nursing - Online March 17 2011
“Follow-up and aftercare services for people affected by colorectal cancer should place more emphasis on aspects of patient needs (such as quality of life, lifestyle advice, psychosocial issues, information needs and self-management) in making the transition into the survivorship period. Nurses have a key role to play in this. Nurse-led models of follow-up may be favourable in providing information tailored towards patient needs and outcomes; more research is needed in this area to determine feasibility, acceptability and impact on outcomes.”


Cancer incidence within a cohort occupationally exposed to asbestos: a study of dose–response relationships
Occup Environ Med 2011; Published Online 15 March 2011
“While confirming the established relationship between asbestos exposure and pleuropulmonary and peritoneal cancers, this study also suggests a causal relationship between asbestos exposure and colorectal cancer.”


Risk factors for colonic and rectal cancer mortality: evidence from 40 years' follow-up in the Whitehall I study
Journal of Epidemiology and Community Health 2011; online March 9 2011
“Smoking significantly increases mortality from colorectal cancer and its decreasing prevalence in the UK may partly explain falling mortality from the disease.”
Cancer Control Snapshot: An Update on Colorectal Cancer Screening in Canada
Available on cancerview.ca
Click to download.

Research Headlines

Colorectal Cancer Survivorship: Movement Matters
Cancer Prev Res April 2011 4:502-511

A decision aid to support informed choice about bowel cancer screening in people with low educational level improves knowledge but reduces screening uptake
Evidence Based Nursing 2011; published online Feb 13 2011

Repeat invitations to non-attenders increase uptake of colorectal cancer screening; incidence screening continues to detect important cancers
Evidence Based Nursing 2011; Published Online  19 January 2011

Body Size and Incident Colorectal Cancer: A Prospective Study of Older Women
Cancer Prev Res, December 2010 3; 1608

Feasibility and acceptability of promoting colorectal cancer screening in an Internet weight loss community through narratives and navigational guidance
Cancer Prevention Research: December 2010; Volume 3, Issue 12, Supplement 2

Psychosocial correlates to intention to participate in CRC screening among an urban sample of nonscreened African Americans
Cancer Prevention Research: December 2010; Volume 3, Issue 12, Supplement 2

Inequalities in colorectal cancer screening uptake: Results from the first 2.6 million invitations in the organized screening program in the U.K
Cancer Prevention Research: December 2010; Volume 3, Issue 12, Supplement 2
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Photos used under Creative Commons from CarbonNYC, H2SO4