Brief Reports
Copyright ©The Author(s) 2003. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 15, 2003; 9(10): 2335-2337
Published online Oct 15, 2003. doi: 10.3748/wjg.v9.i10.2335
Problems in screening colorectal cancer in the elderly
Davidovic M. Mladen, Milosevic P. Dragoslav, Zdravkovic Sanja, Bojic Bozidar, Djurica Snezana
Davidovic M. Mladen, Milosevic P. Dragoslav, Zdravkovic Sanja, Bojic Bozidar, Djurica Snezana, Center of Geriatric Medicine, 11050 Beograd, Rifata Burdzevica 31, Yugoslavia
Author contributions: All authors contributed equally to the work.
Correspondence to: Davidoviæ M. Mladen, at Center, 11050 Beograd, Rifata, Burd ževi æa 31, Yugoslavia. davidovi@EUnet.yu
Telephone: +381-11-417094 Fax: +381-11-765731
Received: May 11, 2003
Revised: June 13, 2003
Accepted: June 20, 2003
Published online: October 15, 2003

AIM: To explore the problems in the screening of colorectal carcinoma in the elderly.

METHODS: Three models of colorectal cancer prevention were examined: standard screening, active check-up of suspected cases and summons to have endoscopic check-up for previously diagnosed colorectal polyps. The study was performed among three groups of elderly individuals: Group 1 (167 cases), hospitalized asymptomatic individuals without symptoms in large intestines. Group 2 (612 cases): old individuals at home for the aged, out of which 32 showed symptoms of colon disorders; Group 3 (44 cases): elderly people with diagnosed polyps. As a result of 1788 rectosigmoidoscopies, we identified 61 individuals with polyps, out of which 44 patients were over 65 years old. However, only 9 of these 44 individuals agreed to have the endoscopy performed again.

RESULTS: One cancer and 13 polyps were detected in Group 1, and two polyps in Group 2. However, it should be noted that only eleven individuals from Group 2 agreed to have the endoscopy. In Group 3, there were no relapses of the polyps among the nine individuals who came back for the endoscopy.

CONCLUSION: Poor understanding of the screening procedures is one of the greatest problems in early detection of the cancer in the aged. Paradoxically, the cooperation is better with hospitalized patients, than with “successfully old” persons.

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