Dr Siddiqui and colleagues from Texas determined factors affecting compliance of a follow-up colonoscopy with previously diagnosed adenomatous colon polyps.
The research team performed a retrospective review on patients with adenomatous polyps excised in 1998.,/p>
The researchers assessed 29 clinical factors in patients with follow-up colonoscopy.
There were 81 compliant patients and 38 noncompliant patients.
Significant variables by univariate analysis were included in multivariate regression.
|69% were compliant|
|Alimentary Pharmacology & Therapeutics|
The team identified 119 patients with adenomatous colon polyps.
Of 119 patients, 114 had a documented recommendation for follow-up of 5 years or less, with 69% having been compliant.
In a univariate analysis, the team found that a greater number of polyps, NSAID use, and statin use were associated with patient compliance.
First-degree relatives with colon cancer, and compliance with out-patient clinic follow-up were significantly associated with patient compliance.
Multivariate analysis revealed that statin use, and first-degree relatives with colon cancer were independent predictors of compliance.
Compliance with out-patient clinic follow-up was also an independent predictor.
Dr Siddiqui's team concludes, “History of statin use and family history of colon cancer are good predictors of compliance.”
“The strongest predictor can be anticipated with compliance assessed with encounters for other visits.”
“Strong efforts should be directed at improving patient education about colon cancer by the physician and facilitating patient compliance.”