Lack of communication about familial colorectal cancer risk associated with colorectal adenomas (United States)

Background: Sufficient evidence has accumulated to suggest that the first-d egree relatives of patients diagnosed with colorectal adenomas before the a ge of 60 are at increased risk of colorectal cancer. The principal objectiv e of this study was to assess the extent to which channels of communication exist between physicians, patients and their at-risk first-degree relative s regarding both familial risk and screening recommendations. Methods: A telephone survey was conducted among 79 patients (age less than or equal to 60 years) with newly diagnosed colorectal adenomas. Information regarding patient demographics, awareness of familial risk, physician reco mmendations, and extent of communication with family members about their ri sk status and need for screening was ascertained. Results: Forty-four (56%) of the 79 eligible subjects completed the survey. Only 18 (41%) responders were aware that their first-degree relatives were at increased risk of colorectal cancer, and the majority claimed to have g ained their awareness through sources other than their physicians. Only fiv e (28%) of the Is knowledgeable patients notified their at-risk relatives o f their status, and only two (11%) communicated the need for screening. Conclusions: This survey demonstrates poor communication about familial col orectal cancer risk associated with colorectal adenomas, and highlights the need for novel strategies to both promote awareness and facilitate screeni ng of at-risk relatives.