A E de Jong1, H F A Vasen. 1. The Netherlands Foundation for the Detection of Hereditary Tumours and the Department of Gastroenterology, Leiden University Medical Centre, Leiden, the Netherlands.
Abstract
BACKGROUND: Subjects with a positive family history of colorectal cancer (CRC) have an increased risk of developing CRC themselves. This risk depends on the number of affected relatives and the age at diagnosis. AIM: The aim of this study was to assess the prevalence of a positive family history of CRC, within a random cohort among the dutch population. METHODS: A total of 5072 subjects aged between 45 and 70 years were invited to fill in an anonymous questionnaire about the occurrence of CRC in their first-degree relatives (FDR). RESULTS: The questionnaire was returned by 3973 subjects (78.3%). Thirty responders (0.8%) had CRC themselves. Of all unaffected responders, 441 (11.2%) subjects reported a positive family history of CRC. Ninety (2.3%) responders reported having an FDR with CRC diagnosed before the age of 50, or reported two or more FDRs with CRC. CONCLUSION: The prevalence of a positive family history of CRC is substantial. Identification of this high-risk group by obtaining a thorough family history is the first step in targeting preventive measures.
BACKGROUND: Subjects with a positive family history of colorectal cancer (CRC) have an increased risk of developing CRC themselves. This risk depends on the number of affected relatives and the age at diagnosis. AIM: The aim of this study was to assess the prevalence of a positive family history of CRC, within a random cohort among the dutch population. METHODS: A total of 5072 subjects aged between 45 and 70 years were invited to fill in an anonymous questionnaire about the occurrence of CRC in their first-degree relatives (FDR). RESULTS: The questionnaire was returned by 3973 subjects (78.3%). Thirty responders (0.8%) had CRC themselves. Of all unaffected responders, 441 (11.2%) subjects reported a positive family history of CRC. Ninety (2.3%) responders reported having an FDR with CRC diagnosed before the age of 50, or reported two or more FDRs with CRC. CONCLUSION: The prevalence of a positive family history of CRC is substantial. Identification of this high-risk group by obtaining a thorough family history is the first step in targeting preventive measures.
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