Chronic Physical and Mental Comorbidities Decrease Colonoscopy Uptake After Positive Fecal Blood Test
Douglas K. Rex, MD, MASGE, reviewing Bhatia D, et al. Am J Gastroenterol 2022 Mar 23.
This study evaluated 168,701 individuals with a positive fecal occult blood test (FOBT) result, of whom 80.5% underwent colonoscopy within 12 months. Compared with patients not having the same condition, colonoscopy uptake was reduced by 29% in patients with renal failure, 23% in patients with heart failure, and 12% in patients with serious mental illness. The number of medical conditions was also associated with lower colonoscopy uptake. For example, compared with patients with no medical comorbidities, colonoscopy uptake was 36% lower in patients with 4 or more conditions, 25% lower with 3 conditions, and 13% lower with 2 conditions.
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
Bhatia D, Sutradhar R, Paszat LF, et al. Effect of chronic comorbidities on follow-up colonoscopy after positive colorectal cancer screening results: a population-based cohort study. Am J Gastroenterol 2022 Mar 23. (Epub ahead of print) (https://doi.org/10.14309/ajg.0000000000001742)