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Erdem L, Akbal E, Koçak E, Tucer D, Üçbilek E, Uyanıkoğlu A, Dolapçıoğlu C, Ahısalı Erim E, Şirin G, Alkım H, Soylu A, Doğanay L, Kemal Kürbüz A, Özdil K, Alagözlü H, Erürker Öztürk T, Sezikli M, Adalı G, Çoban M, Hülagü S, Değertekin H, Atasoy A, Akyüz F, Gaffarlı İ, Saruç M, Altıntaş E, Sezgin O. A New Risk-Scoring System for Colorectal Cancer and Polyp Screening by Turkish Colorectal Cancer and Polyp Study Group. Turk J Gastroenterol 2022; 33:286-293. [PMID: 35550537 PMCID: PMC9153693 DOI: 10.5152/tjg.2022.21072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 05/30/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND Colorectal cancer is one of the most commonly diagnosed types of cancer worldwide. An early diagnosis and detection of colon cancer and polyp can reduce mortality and morbidity from colorectal cancer. Even though there are a variety of options in screen- ing tests, the question remains on which test is the most effective for the early detection of colorectal cancer. In this prospective study, we aimed to develop a simple, useful, effective, and reliable scoring system to detect colon polyp and colorectal cancer. METHODS We enrolled 6508 subjects over the age of 18 from 16 centers, with colonoscopy screening. The age, smoking status, alcohol consumption, body mass index, polyp incidence, polyp size, number and localization, and pathologic findings were recorded. RESULTS The age, male gender, obesity, smoking, and family history were found as independent risk factors for adenomatous polyp. We have developed a new scoring system which can be used for these factors. With a score of 4 or above, we found the following: sensitivity 81%, specificity 40%, positive predictive value 25.68%, and negative predictive value 89.84%, for adenomatous polyp detection; and sensitivity 96%, specificity 39%, positive predictive value 3.35%, negative predictive value 99.29%, for colorectal cancer detection. CONCLUSION Even though the first colorectal cancer screening worldwide is generally performed for individuals over 50 years of age, we recommend that screening for colorectal cancer might begin for those under 50 years of age as well. Individuals with a score ≥ 4 must be included in the screening tests for colorectal cancer.
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Affiliation(s)
- Levent Erdem
- Department of Gastroenterology, Demiroğlu Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Erdem Akbal
- Department of Gastroenterology, Demiroğlu Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Erdem Koçak
- Department of Gastroenterology, Demiroğlu Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Dilek Tucer
- Department of Gastroenterology, Edirne State Hospital, Edirne, Turkey
| | - Enver Üçbilek
- Department of Gastroenterology, Mersin University Faculty of Medicine, Mersin, Turkey
| | - Ahmet Uyanıkoğlu
- Department of Gastroenterology, Harran University Faculty of Medicine, Şanlıurfa, Turkey
| | - Can Dolapçıoğlu
- Department of Gastroenterology, Kartal Lütfü Kırdar Education and Research Hospital, İstanbul, Turkey
| | - Emel Ahısalı Erim
- Department of Gastroenterology, Koç University Faculty of Medicine, İstanbul, Turkey
| | - Göktuğ Şirin
- Department of Gastroenterology, Kocaeli University Faculty of Medicine, İstanbul, Turkey
| | - Hüseyin Alkım
- Department of Gastroenterology, Şişli Etfal Education and Research Hospital, İstanbul, Turkey
| | - Aliye Soylu
- Department of Gastroenterology, Kahramanmaraş Provincial Directorate of Health Necip Fazıl City Hospital, Kahramanmaraş, Turkey
| | - Levent Doğanay
- Department of Gastroenterology, Ümraniye Education and Research Hospital, İstanbul, Turkey
| | - Ahmet Kemal Kürbüz
- Department of Gastroenterology, Kahramanmaraş Provincial Directorate of Health Necip Fazıl City Hospital, Kahramanmaraş, Turkey
| | - Kamil Özdil
- Department of Gastroenterology, Ümraniye Education and Research Hospital, İstanbul, Turkey
| | - Hakan Alagözlü
- Department of Gastroenterology, Medical Park Hospital, Ankara, Turkey
| | | | - Mesut Sezikli
- Department of Gastroenterology, Mehmet Akif İnan Education and Research Hospital, Şanlıurfa, İstanbul
| | - Gupse Adalı
- Department of Gastroenterology, İstanbul University Faculty of Medicine, İstanbul, Turkey
| | - Mehmet Çoban
- Department of Gastroenterology, Ufuk University Faculty of Medicine, Ankara, Turkey
| | - Saadettin Hülagü
- Department of Gastroenterology, Kocaeli University Faculty of Medicine, İstanbul, Turkey
| | - Halil Değertekin
- Department of Gastroenterology, Ufuk University Faculty of Medicine, Ankara, Turkey
| | - Alp Atasoy
- Department of Gastroenterology, Mehmet Akif İnan Education and Research Hospital, Şanlıurfa, İstanbul
| | - Filiz Akyüz
- Department of Gastroenterology, İstanbul University Faculty of Medicine, İstanbul, Turkey
| | - İlham Gaffarlı
- Department of Gastroenterology, Acıbadem University Faculty of Medicine, İstanbul, Turkey
| | - Murat Saruç
- Department of Gastroenterology, Acıbadem University Faculty of Medicine, İstanbul, Turkey
| | - Engin Altıntaş
- Department of Gastroenterology, Mersin University Faculty of Medicine, Mersin, Turkey
| | - Orhan Sezgin
- Department of Gastroenterology, Acıbadem University Faculty of Medicine, İstanbul, Turkey
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