Do colorectal cancer patients understand that their family is at risk?
OBJECTIVE
The aim of this study was to assess whether patients with colorectal cancer (CRC) are aware of the risk to family members and to test an educational intervention.


METHODS
CRC patients were surveyed regarding their cancer, family history, understanding of familial risk of CRC, and knowledge of existing screening guidelines for their relatives. An educational intervention was mailed to them and 6 months later they were resurveyed.


RESULTS
Of 253 CRC patients who agreed to participate, only 120 (47.4%) knew that their first-degree relatives were at increased risk for CRC. African-American (AA) race, educational background, income, and previous family history of CRC were significant predictive factors on univariate analysis, but only AA race remained significant on multivariate analysis. Two hundred two patients received the educational intervention and were resurveyed. The understanding of family risk did not improve with this intervention.


CONCLUSIONS
Most CRC patients do not know about their family members' risk. Better educational tools are needed.
Rubin
David T
DT
The University of Chicago Medical Center, Chicago, IL, USA. drubin@medicine.bsd.uchicago.edu
Gandhi
Rishi K
RK
Hetzel
Jeremy T
JT
Kinnear
Sydney H
SH
Aronsohn
Andrew
A
Wood
Gordon
G
Yadron
Nicole
N
D000368:Aged; D015179:Colorectal Neoplasms / Q000235:genetics / Q000523:psychology*; D005192:Family Health; D005260:Female; D020022:Genetic Predisposition to Disease; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors