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Current guidelines for initiating screening colonoscopies in patients younger than 50 years of age who have a first relative history of colorectal cancer are controversial. The aim of this study was to prospectively define the prevalence of colorectal adenoma 30- to 49-years-old asymptomatic subjects with a first relative history of colorectal cancer and to compare the data with controls.
Design: Single-center prospective study
Colorectal cancer screening is recommended for average-risk persons beginning at age 50. A family history of colorectal cancer is recognized as a risk factor for colorectal adenoma. However, the strength of this association is uncertain. Current guidelines for initiating screening colonoscopies in patients younger than 50 years of age who have a first relative history of colorectal cancer have proved controversial. The conflicting recommendations are partly attributable to the lack of data about the prevalence of CRC and adenomas among 30- to 49-year-old individuals with a first relative history of colorectal cancer. This prospective study will quantify the prevalence of adenomas (any size) and advanced adenomas among 30- to 49-year-old individuals undergoing their first screening colonoscopy because of a first relative history of colorectal cancer and compare the data with controls(asymptomatic subjects without a first relative history of colorectal cancer).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Family history | 30- to 49-year-old asymptomatic subjects with a first relative history of colorectal cancer |
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| Measure | Description | Time Frame |
|---|---|---|
| prevalence of colorectal adenoma(any size) | First screening colonoscopy |
| Measure | Description | Time Frame |
|---|---|---|
| prevalence of advanced adenoma |
| First screening colonoscopy |
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Inclusion Criteria:
Exclusion Criteria:
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30- to 49-year-old asymptomatic subjects undergoing first screening colonoscopy because of a first relative history of colorectal cancer
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JAEIL KIM, M.D | Contact | 82230105673 | pianojaeil@nate.com | |
| KYUNG-JO KIM, M.D | Contact | 82230103196 | capsulendos@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Kyung-Jo Kim, M.D | Department of Gastroenterology, Asan Medical Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical Center | Recruiting | Seoul | 138-736 | South Korea |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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whole blood and serum Colorectal polyp/cancer tissue
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |