Interest in genetic testing for colon cancer high among people with family history

March 15, 2000

People with a family history of colon cancer express strong interest in having genetic testing, but many do not take advantage of already available screening tests for the disease, researchers from the University of Utah report.

Among 95 people whose parent or sibling had colon cancer, 84 percent said they would take a genetic test to determine their susceptibility to the disease if one were available. However, substantial numbers may fail to follow screening recommendations by the American Cancer Society. Among those 40 and older, for example, 31 percent had completed a screening test for blood in their stool in the previous year and 59 percent had their colons examined (via sigmoidoscope or colonoscope) in the previous five years.

"Our data underscore the need for educational efforts regarding colorectal cancer genetics, and testing and interventions targeted at family members of colorectal cancer patients, to increase compliance with colorectal cancer screening guidelines," said lead author Anita Yeomans Kinney, PhD, of the University of Utah College of Nursing. The researchers reported their findings in the April issue of the American Journal of Preventive Medicine.

The researchers surveyed 95 people with a parent or sibling who had been diagnosed with colorectal cancer. Two thirds (68 percent) said they believed that they were at higher than normal risk for colon cancer, and a similar proportion (64 percent) thought their likelihood of being a genetic carrier was greater than 50 percent. A majority (56 percent) thought they had a 50 percent or greater chance of developing colon cancer at some point during their lives.

About 5 percent of cases of colon cancer can be attributed to an inherited alteration in one of several genes, the researchers say. An additional 10 to 15 percent of cases may be due to an increased susceptibility from as yet unidentified genetic aberrations. Genetic tests for two rare inherited forms of colon cancerÐfamilial adenomatous polyposis and hereditary nonpolyposis colorectal cancerÐare available, but tests for more common forms are not.

"Identifying high-risk individuals for whom advanced surveillance would be recommended is a potential benefit of genetic testing," said Kinney. "Knowledge of whether or not they carry the gene may motivate individuals at risk to adhere to preventive measures such as colorectal screening."
-end-
The American Journal of Preventive Medicine, sponsored by the Association of Teachers of Preventive Medicine and the American College of Preventive Medicine, is published eight times a year by Elsevier Science. The Journal is a forum for the communication of information, knowledge, and wisdom in prevention science, education, practice, and policy. For more information about the journal, contact the editorial office at (619) 594-7344.

This study was funded by the University of North Carolina at Chapel Hill Lineberger Comprehensive Cancer Center

Posted by the Center for the Advancement of Health http://www.cfah.org. For information about the Center, call Petrina Chong, pchong@cfah.org (202) 387-2829.

Center for Advancing Health

Related Colorectal Cancer Articles from Brightsurf:

Colorectal cancer treatment: the winning combinations
Chemotherapy has distressing side effects for patients and increases the risk of developing resistance to the treatment.

A new model to predict survival in colorectal cancer
This signature could be useful in clinical practice, especially for colorectal cancer diagnosis and therapy.

Roadmap to reducing colorectal cancer deaths
The American Gastroenterological Association has outlined a strategy to increase the number of people screened via tests that are more convenient, accurate and less expensive and tailored to people's individual cancer risks.

Study provides new insight on colorectal cancer growth
A new study by researchers at the University of Kentucky identifies a novel function of the enzyme spermine synthase to facilitate colorectal cancer growth.

Researchers ID target for colorectal cancer immunotherapy
Researchers at the Indiana University Melvin and Bren Simon Comprehensive Cancer Center have identified a target for colorectal cancer immunotherapy.

Colorectal cancer partner-in-crime identified
A protein that helps colorectal cancer cells spread to other parts of the body could be an effective treatment target.

Cancer cell reversion may offer a new approach to colorectal cancer treatment
A novel approach to reverse the progression of healthy cells to malignant ones may offer a more effective way to eradicate colorectal cancer cells with far fewer side effects, according to a KAIST research team based in South Korea.

A novel pathway to target colorectal cancer
Survival rates for patients with late-stage colorectal cancer are dismal, and new therapeutic strategies are needed to improve outcomes.

Colorectal cancer rates in Canada
The incidence of colorectal cancer among younger adults increased in recent years in this analysis of data from Canadian national cancer registries that included about 688,000 new colorectal cancers diagnosed over more than 40 years.

Cancer drugs promote stem cell properties of colorectal cancer
Scientists from the German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ) and the Mannheim University Medical Center have now discovered that a certain group of cancer drugs (MEK Inhibitors) activates the cancer-promoting Wnt signalling pathway in colorectal cancer cells.

Read More: Colorectal Cancer News and Colorectal Cancer Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.