Obesity and overweight associated with lower rates of colorectal cancer screening in Switzerland.

Details

Ressource 1Download: 23512069-BIB_69388F92F693.pdf (447.99 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_69388F92F693
Type
Article: article from journal or magazin.
Collection
Publications
Title
Obesity and overweight associated with lower rates of colorectal cancer screening in Switzerland.
Journal
European Journal of Cancer Prevention
Author(s)
Fischer R., Collet T.H., Zeller A., Zimmerli L., Gaspoz J.M., Giraudon K., Rodondi N., Cornuz J.
ISSN
1473-5709 (Electronic)
ISSN-L
0959-8278
Publication state
Published
Issued date
2013
Volume
22
Number
5
Pages
425-430
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Screening for colorectal cancer (CRC) is associated with reduced CRC mortality, but low screening rates have been reported in several settings. The aim of the study was to assess predictors of low CRC screening in Switzerland. A retrospective cohort of a random sample of 940 patients aged 50-80 years followed for 2 years from four Swiss University primary care settings was used. Patients with illegal residency status and a history of CRC or colorectal polyps were excluded. We abstracted sociodemographic data of patients and physicians, patient health status, and indicators derived from RAND's Quality Assessment Tools from medical charts. We defined CRC screening as colonoscopy in the last 10 years, flexible sigmoidoscopy in the last 5 years, or fecal occult blood testing in the last 2 years. We used bivariate and multivariate logistic regression analyses. Of 940 patients (mean age 63.9 years, 42.7% women), 316 (33.6%) had undergone CRC screening. In multivariate analysis, birthplace in a country outside of Western Europe and North America [odds ratio (OR) 0.65, 95% confidence interval (CI) 0.45-0.97], male sex of the physician in charge (OR 0.67, 95% CI 0.50-0.91), BMI 25.0-29.9 kg/m (OR 0.66, CI 0.46-0.96) and at least 30.0 kg/m (OR 0.61, CI 0.40-0.90) were associated with lower CRC screening rates. Obesity, overweight, birthplace outside of Western Europe and North America, and male sex of the physician in charge were associated with lower CRC screening rates in Swiss University primary care settings. Physician perception of obesity and its impact on their recommendation for CRC screening might be a target for further research.
Pubmed
Web of science
Open Access
Yes
Create date
08/09/2013 9:14
Last modification date
20/08/2019 14:24
Usage data