Prospective colonoscopic study to investigate risk of colorectal neoplasms in first-degree relatives of patients with non-advanced adenomas
Publication in refereed journal

替代計量分析
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其它資訊
摘要OBJECTIVE:
The risk associated with a family history of non-advanced adenoma (non-AA) is unknown. We determined the prevalence of colorectal neoplasms in subjects who have a first-degree relative (FDR) with non-AA compared with subjects who do not have an FDR with adenomas.

DESIGN:
In a blinded, cross-sectional study, consecutive subjects with newly diagnosed non-AA were identified from our colonoscopy database. 414 FDRs of subjects with non-AA (known as exposed FDRs; mean age 55.0±8.1 years) and 414 age and sex-matched FDRs of subjects with normal findings from colonoscopy (known as unexposed FDRs; mean age 55.2±7.8 years) underwent a colonoscopy from November 2015 to June 2018. One FDR per family was recruited. FDRs with a family history of colorectal cancer were excluded. The primary outcome was prevalence of advanced adenoma (AA). Secondary outcomes included prevalence of all adenomas and cancer.

RESULTS:
The prevalence of AA was 3.9% in exposed FDRs and 2.4% in unexposed FDRs (matched OR (mOR)=1.67; 95% CI 0.72 to 3.91; p=0.238 adjusted for proband sex and proband age). Exposed FDRs had a higher prevalence of any adenomas (29.2% vs 18.6%; mOR=1.87; 95% CI 1.32 to 2.66; p<0.001) and non-AA (25.4% vs 16.2%; mOR=1.91; 95% CI 1.32 to 2.76; p=0.001). A higher proportion of exposed FDRs than unexposed FDRs (4.3% vs 2.2%; adjusted mOR=2.44; 95% CI 1.01 to 5.86; p=0.047) had multiple adenomas. No cancer was detected in both groups.

CONCLUSION:
A positive family history of non-AA does not significantly increase the risk of clinically important colorectal neoplasia. The data support current guidelines which do not advocate earlier screening in individuals with a family history of non-AA.

TRIAL REGISTRATION NUMBER:
NCT0252172.
出版社接受日期09.04.2019
著者Siew C Ng, Moe Htet Kyaw, Bing Yee Suen, Yee Kit Tse, Martin C S Wong, Aric J Hui, Hui Yee Tak, James Y W Lau, Joseph J Y Sung, Francis K L Chan
期刊名稱Gut
出版年份2020
月份2
卷號69
期次2
頁次304 - 310
國際標準期刊號0017-5749
電子國際標準期刊號1468-3288
語言英式英語
關鍵詞colonoscopy, colorectal adenomas, family cancer

上次更新時間 2020-04-08 於 04:41