Volume 8 Supplement 1

Proceedings of the 13th Annual Meeting of the Collaborative Group of the Americas on Inherited Colorectal Cancer

Open Access

The family history score tool identifies high risk families for colorectal cancer

  • Janet Shenal1, 2Email author,
  • Ellen McGannon1, 2,
  • Susan Fay1, 2,
  • Loretta Arroyo1, 2 and
  • James M Church2
Hereditary Cancer in Clinical Practice20108(Suppl 1):P21

https://doi.org/10.1186/1897-4287-8-S1-P21

Published: 25 May 2010

Background

Assessing family history risk of colorectal cancer (CRC) is often difficult due to complex permutations and combinations. A family history score has been developed and validated to simplify familial risk assessment. This study examines the usefulness of this scoring system to identify families at risk through public outreach programs.

Methods

A published Family History Scoring System1 was used to determine familial cancer risk at 7 health fair and educational events spanning 2006-2008. Patients with scores ≤7 are considered at moderate risk for advanced adenomas or CRC, scores with >7 signify high risk, and scores >10 are suggestive of a hereditary colorectal cancer syndrome. A computer program using touch screen technology was designed to record and calculate family history score and was used at the women's and men's health fairs. No identifying information was collected. Recommendations for surveillance were given depending on the risk level assigned.

Results

1223 people participated. The scores are summarized in Table 1.

Table 1

Screening Event/Year

S c o r i n g R a n g e

Total

 

0

Avg Risk

%

1-7

Mod Risk

%

8-10

High Risk

%

>10

High Risk

%

 

Minority Health Fair ‘06

114

83

23

17

0

   

137

Women’s Health Fair ‘06

203

75

63

23

1

1

3

1

270

Minority Health Fair ‘07

130

83

23

14

3

2

1

1

157

Women’s Health Fair ‘07

128

73

41

23

3

2

3

2

174

Minority Health Fair ‘08

66

86

10

13

0

0

1

1

77

CRC Awareness Month ‘08

116

47

115

46

7

3

10

4

248

Women’s Health Fair ‘08

116

73

33

21

9

5

1

1

159

Total

873

71

308

25

23

2

19

2

1123

Authors’ Affiliations

(1)
Taussig Cancer Institute, Cleveland Clinic
(2)
The Sanford R. Weiss, M.D. Center for Hereditary Colorectal Neoplasia, Cleveland Clinic

References

  1. Church JM: Family History Scoring System. Dis Col Rectum 2005, 48: 889–96. 10.1007/s10350-004-0880-9View ArticleGoogle Scholar

Copyright

© Shenal et al; licensee BioMed Central Ltd. 2010

This article is published under license to BioMed Central Ltd.

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