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Article

Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer

  • Authors:
    • Vasileios Panteris
    • Nikolaos Vasilakis
    • Maria Demonakou
    • Eleni Kornarou
    • Eftyxios Ktenas
    • Emanuella Rapti
    • George Spithakis
    • Konstantina Katopodi
    • Maria Horti
    • Stefani Vgenopoulou
    • John Triantafyllidis
    • Apostolos Papalois
    • Panagiotis Karantanos
  • View Affiliations / Copyright

    Affiliations: Department of Gastroenterology, Sismanogleio‑Amalia Flemig General Hospital, 15126 Athens, Greece, Department of Histopathology, Sismanogleio‑Amalia Flemig General Hospital, 15126 Athens, Greece, Department of Epidemiology and Biostatistics, National School of Public Health, 11521 Athens, Greece, Department of Gastroenterology, Metropolitan General, Hellenic Society of Gastrointestinal Oncology, 15562 Athens, Greece, Experimental, Educational and Research Center, ELPEN Laboratories, Hellenic Society of Gastrointestinal Oncology, 19009 Athens, Greece
  • Pages: 179-185
    |
    Published online on: December 16, 2019
       https://doi.org/10.3892/mco.2019.1967
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Abstract

There is a lack of a national organized screening program for colorectal cancer in Greece, and asymptomatic detection is usually the result of individual decisions. The collection of epidemiologic endoscopic data from a population of interest would therefore provide valuable information for future treatment guidance, especially during periods of economic austerity. The current cross‑sectional study included 380 asymptomatic, average risk individuals undergoing screening colonoscopy for the first time, during the period of one year in a tertiary public hospital in Athens. Descriptive and analytic epidemiologic data were analyzed. The prevalence of adenomas and advanced lesions were compared between the younger and older cohort, and a regression model was applied for risk evaluation. The mean age of participants was 63 years, and 53% were male. A significant proportion of patients presented with polyps (51.5%) and 25% of them had lesions in the proximal colon. The prevalence of adenomas and advanced adenomas was 29.5 and 11.8%, respectively. Similar high prevalence rates of lesions were identified in the cohort of individuals <50 years of age and the older cohort (>50 years of age). Regression models identified age, number and size of polyps as the major risk factors for the detection of adenomas. The increase of advanced lesions in the older and younger cohort requires confirmation by larger studies. Overall, the results of the present study indicate the requirement for a well‑organized screening colonoscopy program starting from as early as 40 years of age. This program may confer an additional endoscopic burden with socioeconomic consequences in a country with limited health resources.
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Copy and paste a formatted citation
Spandidos Publications style
Panteris V, Vasilakis N, Demonakou M, Kornarou E, Ktenas E, Rapti E, Spithakis G, Katopodi K, Horti M, Vgenopoulou S, Vgenopoulou S, et al: Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer. Mol Clin Oncol 12: 179-185, 2020.
APA
Panteris, V., Vasilakis, N., Demonakou, M., Kornarou, E., Ktenas, E., Rapti, E. ... Karantanos, P. (2020). Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer. Molecular and Clinical Oncology, 12, 179-185. https://doi.org/10.3892/mco.2019.1967
MLA
Panteris, V., Vasilakis, N., Demonakou, M., Kornarou, E., Ktenas, E., Rapti, E., Spithakis, G., Katopodi, K., Horti, M., Vgenopoulou, S., Triantafyllidis, J., Papalois, A., Karantanos, P."Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer". Molecular and Clinical Oncology 12.2 (2020): 179-185.
Chicago
Panteris, V., Vasilakis, N., Demonakou, M., Kornarou, E., Ktenas, E., Rapti, E., Spithakis, G., Katopodi, K., Horti, M., Vgenopoulou, S., Triantafyllidis, J., Papalois, A., Karantanos, P."Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer". Molecular and Clinical Oncology 12, no. 2 (2020): 179-185. https://doi.org/10.3892/mco.2019.1967
Copy and paste a formatted citation
x
Spandidos Publications style
Panteris V, Vasilakis N, Demonakou M, Kornarou E, Ktenas E, Rapti E, Spithakis G, Katopodi K, Horti M, Vgenopoulou S, Vgenopoulou S, et al: Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer. Mol Clin Oncol 12: 179-185, 2020.
APA
Panteris, V., Vasilakis, N., Demonakou, M., Kornarou, E., Ktenas, E., Rapti, E. ... Karantanos, P. (2020). Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer. Molecular and Clinical Oncology, 12, 179-185. https://doi.org/10.3892/mco.2019.1967
MLA
Panteris, V., Vasilakis, N., Demonakou, M., Kornarou, E., Ktenas, E., Rapti, E., Spithakis, G., Katopodi, K., Horti, M., Vgenopoulou, S., Triantafyllidis, J., Papalois, A., Karantanos, P."Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer". Molecular and Clinical Oncology 12.2 (2020): 179-185.
Chicago
Panteris, V., Vasilakis, N., Demonakou, M., Kornarou, E., Ktenas, E., Rapti, E., Spithakis, G., Katopodi, K., Horti, M., Vgenopoulou, S., Triantafyllidis, J., Papalois, A., Karantanos, P."Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer". Molecular and Clinical Oncology 12, no. 2 (2020): 179-185. https://doi.org/10.3892/mco.2019.1967
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