Clinical Edge

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Family History Limits Benefits of Negative Colonoscopy

Am J Gastroenterol; ePub 2017 Jul 11; Samadder, et al

Patients who have had a negative colonoscopy are less likely to develop colorectal cancer over the next 10 years, but the magnitude of that reduced risk is lower among those with a family history of the disease, according to statistics from the Utah Population Database. Additional details include:

  • The population studied consisted of more than 131,000 Utah residents at average risk of colorectal cancer.
  • The standardized incidence ratio (SIR) of cancer was 0.15 at 1 year, 0.26 at 2-5 years, and 0.60 at 7-10 years following the colonoscopy, when compared to the general Utah population.
  • But when patients with a first-degree relative were factored into a second analysis, a significantly lower incidence of cancer was observed only during the first 5 years of follow-up (SIR, 0.39).

Citation:

Samadder NJ, Pappas L, Boucherr KM, et al. Long-term colorectal cancer incidence after negative colonoscopy in the state of Utah: the effect of family history. [Published online ahead of print July 11, 2017]. Am J Gastroenterol. doi:10.1038/ajg.2017.193.