Programa de detección de neoplasias colorrectales en población mayor de 50 años
Author
Lopez-Köstner, Francisco; Unidad de Coloproctologia Clinica las Condes.
Kronberg, Udo; Unidad de Coloproctologia. Clínica las Condes
Zarate, Alejandro J; Unidad de Coloproctologia. Clínica las Condes
Wielandt, Ana María; Laboratorio de oncología y genética molecular. Clínica las condes
Pinto, Eliana; Unidad de Coloproctologia. Clínica las Condes
Suazo, Cristobal; Residente Investigacion. Unidad de coloproctologia Clinica las Condes
Orellana, Paulina; Laboratorio de oncología y genética molecular. Clínica las condes
Avendaño, Rodolfo; Clínica Alemana de Valdivia, Chile.
Bresky, Gustavo; Facultad de Medicina. Universidad Católica del Norte. Coquimbo, Chile.
Castillo, Mirko; Hospital Regional de Antofagasta, Chile.
Lubascher, Jaime; Departamento de Gastroenterología. Clínica Las Condes, Santiago, Chile.
Karelovic, Stanko; Hospital Regional de Punta Arenas, Chile. Clínica Magallanes de Punta Arenas, Chile.
Ross, Marcelo; Hospital Regional de Punta Arenas, Chile. Clínica Magallanes de Punta Arenas, Chile.
Ocares, Misael; Hospital Regional Concepción, Chile
Riquelme, Fernando; Hospital del Trabajador Concepción, Chile Hospital Gmo. Grant Benavente de Concepción
Contreras, Luis; Departamento de Anatomía Patológica. Clínica las Condes, Santiago, Chile.
Vargas, Belisario; Hospital del Cobre, Calama, Chile.
Cortés, Miguel; Hospital del Cobre, Calama, Chile.
Abstract
A SCREENING PROGRAM FOR COLORECTAL CANCER IN CHILEAN SUBJECTS AGED FIFTY YEARS OR MOREBackground: Mortality from colorectal cancer (CCR) in Chile has nearly doubled over the past 15 years. International studies have shown that CCR screening programs based on Fecal Occult Blood Test (FOBT) reduce CCR mortality. Aim: To analyze the results from a CCR screening model in people over 50 years. Material and methods: Between 2007 and 2009, a prospective multicenter study was performed in seven major Chilean cities. FOBT using an immunological method, was measured in asymptomatic subjects aged 50 years or more, without risk factors. In patients with a positive FOBT, with symptoms or with family risk factors, a colonoscopy was indicated. Results: A total of 6348 subjects were assessed, FOBT was performed in 4938 of them, with a compliance of 77%. The result was positive in 9.6%. A total of 2359 colonoscopies were ordered, with an overall compliance of 50.1%. Of the 1184 colonoscopies performed, adenomas and high risk adenomas were found in 304 (26%) and 75 (6%) patients, respectively. Thirteen patients were diagnosed with stage I and II CCR. Three of these lesions were excised endoscopically and 10 surgically. The detection rate of polyps, high risk adenomas and cancer was 75, 12 and 2 per 1000 screened individuals, respectively. Conclusions: This program allowed the early detection of an important number of high risk colon lesions, and all patients with CCR were diagnosed at early stages.
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