Nicholas J. Shaheen|B GREEN|Raj K. Medapalli|Kate Mitchell|Jintao Wei|Sarah Schmitz|Lindsay West|Alphonso Brown|Marc Noble|Shahnaz Sultan
The Perception of Cancer Risk in Patients With Prevalent Barrett’s Esophagus Enrolled in an Endoscopic Surveillance Program
Durham VA Medical Center|Duke University Hospital|Duke Medical Center|Durham VA Medical Center|Duke University Hospital|Duke Medical Center|Durham VA Medical Center|Duke University Hospital|Duke Medical Center
patients barretts esophagus risk esophageal adenocarcinoma approximately 05 per year patients may difficulty understanding risk study assessed perceived risk cancer patients correlated risk estimates health care use behaviorswe performed survey patients participating endoscopic surveillance program 2 sites university teaching hospital veterans administration hospital questionnaire also elicited demographics well sources health information health care behaviors including physician visits endoscopic surveillance behaviors assessed patients classified either overestimators nonoverestimators risk characteristics overestimators well health care use patterns assessedone hundred eighteen patients met entry criteria 92 78 completed questionnaires sixtyeight percent patients overestimated 1year risk cancer mean estimated 1year cancer risk 136 lifetime risk also overestimated 38 patients patients overestimated risk likely veterans administration medical center patients symptomatic reflux likely use internet get health care information significant difference physician visits overestimators nonestimators 12 visits per year vs 10 p 20 endoscopy use 57 endoscopies per 5year period vs 50 p 42the majority patients prevalent participating endoscopic surveillance program overestimated chances developing adenocarcinoma esophagus efforts improve education patients warranted