Recent Trends for Colorectal Cancer Screening in HIV-Infected Patients

被引:25
作者
Iqbal, Shahzad [1 ,2 ]
Browne-McDonald, Veron [1 ,2 ]
Cerulli, Maurice A. [2 ]
机构
[1] Interfaith Med Ctr, Div Gastroenterol, Brooklyn, NY 11238 USA
[2] New York Methodist Hosp, Div Gastroenterol, Brooklyn, NY USA
关键词
Colorectal cancer; Colorectal cancer screening; Colonoscopy; HIV population; Colorectal cancer screening in HIV patients; SYNDROME-DEFINING MALIGNANCIES; HUMAN-IMMUNODEFICIENCY-VIRUS; SERVICES TASK-FORCE; ANTIRETROVIRAL THERAPY; LIFE EXPECTANCY; MORTALITY; GUIDELINES; UPDATE; AGE; ADENOCARCINOMA;
D O I
10.1007/s10620-009-0774-8
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We planned to investigate the recent trends for colorectal cancer (CRC) screening in human immunodeficiency virus (HIV) as compared to non-HIV by interviewing consecutive patients in outpatient clinics during September 2007. Out of a total of 300 patients interviewed, 205 met the inclusion criteria. One hundred and fourteen were HIV-infected, while 91 were non-HIV. HIV received more office visits per year. Despite the high incidence of adenomas on screening colonoscopy, HIV patients were less likely to undergo any type of CRC screening test. A higher number (a parts per thousand yen10) of annual clinic visits and the presence of co-morbid conditions were associated with being up-to-date for CRC screening in HIV patients. Conclusion CRC screening is underutilized in HIV patients. Multiple office visits per year are associated with being up-to-date for CRC screening. Hence, increasing patients' compliance with office visits and educating them about the importance of CRC screening may indirectly increase compliance with CRC screening.
引用
收藏
页码:761 / 766
页数:6
相关论文
共 30 条
[1]   Is the quality of the patient-provider relationship associated with better adherence and health outcomes for patients with HIV? [J].
Beach, Mary Catherine ;
Keruly, Jeanne ;
Moore, Richard D. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2006, 21 (06) :661-665
[2]   Trends in AIDS-defining and non-AIDS-defining malignancies among HIV-infected patients: 1989-2002 [J].
Bedimo, R ;
Chen, RY ;
Accortt, NA ;
Raper, JL ;
Linn, C ;
Allison, JJ ;
Dubay, J ;
Saag, MS ;
Hoesley, CJ .
CLINICAL INFECTIOUS DISEASES, 2004, 39 (09) :1380-1384
[3]   Use of flexible sigmoidoscopy to screen for colorectal cancer in HIV-infected patients 50 years of age and older [J].
Bini, Edmund J. ;
Park, James ;
Francois, Fritz .
ARCHIVES OF INTERNAL MEDICINE, 2006, 166 (15) :1626-1631
[4]  
CAPPELL MS, 1988, CANCER-AM CANCER SOC, V62, P616, DOI 10.1002/1097-0142(19880801)62:3<616::AID-CNCR2820620329>3.0.CO
[5]  
2-J
[6]   Update on non-acquired immunodeficiency syndrome-defining malignancies [J].
Chiao, EY ;
Krown, SE .
CURRENT OPINION IN ONCOLOGY, 2003, 15 (05) :389-397
[7]   HIV-related malignancies: community-based study using linkage of cancer registry and HIV registry data [J].
Cooksley, CD ;
Hwang, LY ;
Waller, DK ;
Ford, CE .
INTERNATIONAL JOURNAL OF STD & AIDS, 1999, 10 (12) :795-802
[8]  
Demopoulos BP, 2003, ARCH PATHOL LAB MED, V127, P589
[9]   Guidelines for colorectal cancer screening and surveillance [J].
Eisen, GM ;
Chutkan, R ;
Goldstein, JL ;
Petersen, BT ;
Ryan, ME ;
Sherman, S ;
Vargo, J ;
Wright, RA ;
Young, HS ;
Catalano, MF ;
Walter, V .
GASTROINTESTINAL ENDOSCOPY, 2000, 51 (06) :777-782
[10]   Cancer statistics, 2004 [J].
Jemal, A ;
Tiwari, RC ;
Murray, T ;
Ghafoor, A ;
Samuels, A ;
Ward, E ;
Feuer, EJ ;
Thun, MJ .
CA-A CANCER JOURNAL FOR CLINICIANS, 2004, 54 (01) :8-29