Table of Contents
ISRN Gastroenterology
Volume 2012, Article ID 152980, 8 pages
Research Article

Screening for Familial Colorectal Cancer Risk amongst Colonoscopy Patients New to an Open-Access Endoscopy Center

1Division of Gastroenterology & Hepatology, Department of Medicine, Penn State Hershey College of Medicine, Hershey, PA 17033-0850, USA
2Division of Hematology/Oncology, Department of Medicine, Penn State Hershey Cancer Institute, Penn State Hershey College of Medicine, P.O. Box 850, Hershey, PA 17033-0850, USA

Received 3 November 2011; Accepted 20 December 2011

Academic Editors: S. V. Hodgson, A. J. Karayiannakis, M. Tanaka, and A. A. te Velde

Copyright © 2012 Sumana Moole et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. We evaluated a questionnaire to aid in the recognition of CRC risk, as well as patient interest in their risk status within an open-access endoscopy center. Methods. A questionnaire was administered to new patients presenting for colonoscopy from May 2007 to February 2008. 287 patients were enrolled. Family history was evaluated using Amsterdam 1, II, and Revised Bethesda criteria. Recognition of risk and referral for counseling was assessed. Patients' interest to be contacted by a genetic counselor was also assessed. Results. 13.2 % (38/287) of patients met Revised Bethesda criteria. Of these, 18 (47.4 %) were previously told about their increased risk for CRC. Only 1 patient who met Revised Bethesda criteria (2.6 %) was previously referred for genetics, whereas none of the 3 patients who met Amsterdam I or II criteria were referred. 23.7 % of high-risk patients did not want to be contacted if found to be at increased risk for cancer. Conclusion. In our open-access endoscopy system, a significant number of high-risk patients remain unidentified and underreferred for genetic counseling due to numerous barriers. Our findings lend support to taking a public health approach to identifying those at risk for Lynch syndrome by implementing universal screening of all CRC specimens.