Assessment of colonoscopy screening by elderly people

Piotr Sikorski, Małgorzata Szamocka, Agnieszka Meder, Monika Anna Ameryk, Maciej Świątkowski


Forecasts indicate that in the next decade cancer will become the most common cause of death in our country. Over 140,000 new cases of malignant neoplasms are reported annually in Poland. Colorectal cancer (CRC) is one of the most frequently detected malignancies: third in men and second in women.

The aim of the study was the assessment of colonoscopy screening for early detection of colorectal cancer by elderly screening subjects. 

The study group consisted of 106 elderly people (aged 66 years and older), and the control group consisted of 100 consecutive people aged 40 to 65 years who reported to the Clinic for colonoscopy screening under PBP.

Subjects from the control group expressed much more positive opinion about the usefulness of colonoscopy screening. 99,1% of subjects from this group assessed the examination as “very useful”, while in the study group such an opinion was expressed by 76% of subjects (p<0.0001). In the study group, 25.0% of subjects considered the preparation for colonoscopy as not bothersome, while in the control group such an opinion was expressed by 44.3% of subjects (p=0.0040).

Due to the poor assessment of colonoscopy screening made by elderly people, a comprehensive analysis of the investigated procedure should be conducted, which should lead to improvements at all of its stages.


colorectal cancer; colonoscopy screening; elderly people

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Howlader N. et al.: Cancer Statistics Review. National Cancer Institute, Bethesda, 2015

Didkowska J. i wsp.: Nowotwory złośliwe w Polsce w roku 2014, Krajowy Rejestr Nowotworów, Ministerstwo Zdrowia, 2016

Calvert P.: The genetics of colorectal cancer. Ann Intern Med.; 2002; 137: 603-612

Chan A. et al.: Primary Prevention of Colorectal Cancer. Gastroenterology. 2010; 138(6): 2029-2043

Day L. et al.: Colorectal cancer screening and surveillance in the elderly patients. Am J Gastroenterol. 2011;106: 1197-1206.

Rex D.: Considerations regarding the present and future roles of colonoscopy in colorectal cancer prevention. Clin. Gastroenterol. Hepatol. 2008; 6 (5): 506 – 514

Atkin W. et al. Colonoscopic surveillance following adenoma removal, Segnan N. et al. in to: European guidelines for quality assurance in colorectal cancer screening and diagnosis – first edition. European Commission, Publication Office in the European Union, Luxembourg 2010: 273-298

Reguła J. et al. Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia. N Engl J Med. 2006; 355: 1863-72

Świątkowski i wsp.: Program Badań Przesiewowych dla Wczesnego Wykrywania Raka Jelita Grubego Wykonywany w Klinice Gastroenterologii Uniwersytetu Mikołaja Kopernika w Toruniu Collegium Medicum w Bydgoszczy w latach 2000 – 2009. Gastroenterologia Polska. 2010; 17 (6): 410-415

Reguła J.: Narodowy program zwalczania nowotworów: Program badań przesiewowych dla wczesnego wykrywania raka jelita grubego, w zakresie wykonywania badań kolonoskopowych w 2014 i 2015 r. w systemie zapraszanym;, Warszawa, 03.06.2014 r.

Świątkowski M. i wsp.: Kolonoskopia przesiewowa w ocenie jej uczestników. Medical and Biological Sciences. 2012; 26 (3); 61-66

Winter P. et al.: Epigenetics and chromatin modifications. Short lectures. Genetics. editors, PWN. Warsaw, 2003; 374-81

Jass R: Clasiffication of colorectal cancer based on correlation of clinical, morphological and molecular features. Histopathology: 2007; 50: 113 -130

Orłowska J. i wsp.: Gruczolaki ząbkowane i polipowatość hyperplastyczna a rak jelita grubego. Borgis. Postępy Nauk Medycznych. 2009 (2): 111-117

Song M. et al.: Nutrients, Foods and Colorectal Cancer Prevention. Gastroenterology. 2015; 148(6): 1244-1260

Homa K. i wsp.: The evaluation of usefulness and tolerance of screening colonoscopy programmes in relation to selected demographic factors. Gastroenterologia Polska 2005; 12(6): 499-503.

Gross C. et al.: The effect of age and chronic illness on life expectancy after a diagnosis of colorectal cancer: implications for screening. Annals of Internal Medicine. 2006; 145: 646-53.

Wieczorkowska-Tobis K. w wsp.: Kompleksowa ecena geriatryczna jako narzędzie do analizy stanu funkcjonalnego pacjenta starszego. Gieriatr Pol. 2006; 2: 38 – 40.

Dominitz J. et al.: Complications of colonoscopy. Gastrointestinal Endoscopy. 2003;57:441–5.

Wilson J. et al. : Colon cancer screening in the elderly: When do we stop? Trans Am Clin Climatol Assoc. 2010; 121: 94 – 103

Wretowska D i wsp.: Przygotowanie jelita grubego do kolonoskopii. Gastroenterologia Kliniczna 2010; 2(1): 30-36.

Bretthauer M. et al.: Rationale and methods of the first ramdomized trial on colonoscopy screening for colorectal cancer: the NordICC (Nordic-European Initiative On Colon Cancer) trial. Gastroenterology. 2009; 136: A338

El Sayed A. et al.: A randomized single-blind tria log whole versus split – dose polyethylene glycol – electrolyte solution for colonoccpy preparation. Gastrointest. Endosc. 2003; 58: 36 – 40

Świątkowski M. i wsp.:Kolonoskopia przesiewowa w ocenie jej uczestników. Medical and Biological Sciences. 2012; 26 (3); 61-66

Lin O.: Performing colonoscopy in elderly and very elderly patients: Risks, costs and benefites. World J. Gastrointest. Endosc. 2014; 16 (6): 220-226

Parker M. et al.: Psychiatric morbidity and screening for colorectal cancer. Journal of Medical Screening. 2002; 9: 7–10



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