Rapid review of factors associated with flexible sigmoidoscopy screening use

Publication date: Available online 28 December 2018Source: Preventive MedicineAuthor(s): Robert S. Kerrison, Christian von Wagner, Trish Green, Monica Winfield, Una Macleod, Mark Hughes, Colin J. Rees, Stephen Duffy, Lesley M. McGregorAbstractFlexible sigmoidoscopy (FS) screening has been shown to reduce colorectal cancer (CRC) incidence and mortality among screened adults. The aim of this review was to identify patient-related factors associated with the screening test's use.We searched PubMed for studies that examined the association between FS screening use and one or more factors. To determine the eligibility of studies, we first reviewed titles, then abstracts, and finally the full paper. We started with a narrow search, which we expanded successively (by adding ‘OR’ terms) until the number of new publications eligible after abstract review was <1% of the total number of publications. We then abstracted factors from eligible papers and reported the number of times each was found to be positively or negatively associated with FS screening use.We identified 42 papers, most of which reported studies conducted in the United States of America (n = 21, 50%) and the United Kingdom (n = 13, 31%). Across studies, a wide range of factors were examined (n = 123), almost half of which were found to be associated with FS screening use at least once (n = 60). Sociodemographic and health and lifestyle factors that were frequently positively associated with FS sc...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research