Colorectal Cancer Awareness Month Research Articles

S331 Get FIT Campaign for Colorectal Cancer Awareness Month: A QI Project to Improve Screening Rates for an Underserved Population in a Resident-Led Primary Care Clinic

S331 Get FIT Campaign for Colorectal Cancer Awareness Month: A QI Project to Improve Screening Rates for an Underserved Population in a Resident-Led Primary Care Clinic

S316 A Cross-Sectional Quality Improvement Study: Assessing the General Public Knowledge of Colorectal Cancer (CRC) by Comparing Races During CRC Awareness Month in March 2022 at a Safety Net Hospital

Introduction: Colorectal cancer (CRC) is the second leading cause of cancer death and the third most common cause of cancer amongst men and women in the US. Despite being a preventable malignancy, about 7 in 10 US adults are up-to-date with CRC screening. It is predicted that by 2035 there will be a 27.8% increase in mortality secondary to colorectal cancer. In recent years, only approximately half of the Hispanic population in the US has reported obtaining CRC screening, yet by 2050 30% of the US, people will be Hispanic. Methods: A short survey about CRC awareness, provided by the Centers for Disease Control and Prevention (CDC), was randomly handed out to patients, employees, and visitors at Nassau University Medical Center, a 530-bed safety-net hospital in Long Island, NY. The surveys were randomly distributed during National Colorectal Cancer Awareness Month (NCCAM). Statistical analysis was conducted to ascertain the overall percentage of accurate responses and compare Hispanic (H) and non-Hispanic (n-H) responses. Results: 278 individuals (72 H, 206 n-H) completed the CRC awareness survey during NCCAM. Our findings reflect an overall good understanding regarding symptomatology (80.6% [66.6% H; 85.4% n-H]), gender disease (93.5% [90.3% H; 94.7 n-H]), preventive screening (89.2% [95.8% H; 86.9% n-H]), and symptom-related CRC (87.8% [77.7% H; 91.3% n-H]) (Table). We also saw a significant shortfall regarding screening alternatives (45.3% [12.5% H; 56,8% n-H]) and age-starting (24.1% [12.5% H; 28.1% n-H]) and age-ending screenings (22.3% [11.1% H; 26.2% n-H]) (Figure). Conclusion: Since the mid-1980s, the overall CRC incidence has declined steadily due to increased general awareness, uptake of screening, and modifying risk factors. However, the high incidence and mortality rates in the US could be due to a lack of CRC knowledge. Our study provides evidence of CRC awareness deficiency. This disparity among races was highly noticeable, with only 12% of Hispanics compared to 56% of non- Hispanics aware of other screening modalities. Poor socioeconomic status, low education levels, and language barriers could be contributing factors. Interestingly, both groups showed a decreased awareness of the appropriate age to begin colorectal cancer screening. In light of our findings, and with the rapid rise in the Hispanic population throughout the US, further action is warranted to increase awareness of CRC, particularly amongst this vulnerable population, ultimately saving lives.Figure 1.: The percentage of accurate responses to the CRC Awareness Survey among Hispanics and Non-Hispanics patients, employees, and visitors of a large New York safety-net hospital during National Colorectal Cancer Awareness Month Table 1. - CRC Awareness Survey provided by the CDC given on random dates to Hispanics and non-Hispanics patients, employees, and visitors of a large New York safety-net hospital during National Colorectal Cancer Awareness Month Legend:Q: QuestionA: Correct answer Total Answers (n=278) % Correct AnswersHispanics (n=72) % Correct AnswersNon-Hispanics (n=206) % Q1: Who gets colorectal cancer?Men only.Women only.A: Both men and women. 13/2785/278260/278 4.71.893.5 65/72 90.3 195/206 94.7 Q2: Colorectal cancer is the second leading cancer killer in the U.S.A: True.: False. 170/278107/278 61.238.5 45/72 62.5 125/206 60.7 Q3: Getting screened for colorectal cancer can help you prevent the disease.A: True.: False. 248/27822/278 89.27.9 69/72 95.8 179/206 86.9 Q4: If you don’t have any symptoms, it means you don’t have colorectal cancer.: True.A: False. 36/278244/278 12.987.8 56/72 77.7 188/206 91.3 Q5: Screening is recommended to begin at what age?: 40.A: 45.: 50.: 60. 122/27867/27884/2786/278 43.924.130.22.2 9/72 12.5 58/206 28.1 Q6: At what age can you stop getting screened for colorectal cancer?: 60.: 65.: 70.A: 75.: 80. 15/27810/27829/27862/278160/278 5.43.610.422.357.6 8/72 11.1 54/206 26.2 Q7: The only screening test for colorectal cancer is colonoscopy.: True.A: False. 152/278126/278 54.745.3 9/72 12.5 117/206 56.8 Q8: Which of these are symptoms of colorectal cancer?: Blood in or on your stool (bowel movement).: Stomach pain, aches, or cramps that don’t go away.: Losing weight and you don’t know why.A: All of these.: None of these. 34/27810/2784/278224/27811/278 12.23.61.480.64.0 48/72 66.6 176/206 85.4 *For an estimated population of 1,000 on any given day in a large safety-net hospital, 278 participants account for a 95% confidence level (p<0.05).

News Coverage of Colorectal Cancer on Google News: Descriptive Study.

BackgroundColorectal cancer (CRC) is one of the leading causes of cancer death in the United States. The incidence and prevalence of CRC have historically increased with age. Although rates of CRC in the United States have been decreasing over the past decades among those aged ≥65 years, there has been an uptick among those in younger age brackets. Google News is one of the biggest traffic drivers to top news sites. It aggregates and shares news highlights from multiple sources worldwide and organizes them by content type. Despite the widespread use of Google News, research is lacking on the type of CRC content represented in this news source. ObjectiveThe purpose of this study was to analyze content related to CRC screening and prevention in Google News articles published during National Colorectal Cancer Awareness Month (March 2022).MethodsData collection for this cross-sectional study was conducted in March 2022—National Colorectal Cancer Awareness Month. Using the term colorectal cancer, 100 English-language Google News articles were extracted and coded for content. A combined approach—deductive and inductive coding—was utilized. Descriptive analyses were conducted, and frequency distributions were reported. Univariable analyses were performed to assess differences between articles that mentioned CRC screening and those that did not via chi-square tests.ResultsOf the 100 articles reviewed, nearly half (n=49, 49%) were created by health news organizations, and another 27% (n=27) were created by television news services. The predominant themes in the content included age at the onset of disease (n=59, 59%), mortality related to CRC (n=57, 57%), and the severity of disease (n=50, 50%). Only 18% (n=18) of articles discussed CRC disparities, 23% (n=23) mentioned that there are hereditary forms of the disease, 36% (n=36) spoke of colonoscopy to screen for the disease, and 37% (n=37) mentioned how the disease is treated. Although most articles mentioned CRC screening (n=61, 61%), it was striking that sex was only mentioned in 34% (21/61) of these articles, colonoscopy was mentioned in 46% (28/61), and diet was mentioned in 30% (18/61).ConclusionsHeightening the public’s awareness of this disease is important, but it is critical that messages related to how preventable this cancer is, who is the most likely to develop CRC, and what can be done to detect it in the early stages when the disease is the most curable be the critical elements of dialogue, particularly during National Colorectal Cancer Awareness Month. There is a need to disseminate information about early-onset CRC and the importance of screening, especially among populations with low rates of uptake. Web-based news is potentially an underutilized communication mechanism for promoting CRC screenings as secondary prevention measures for high-risk groups.

#ColonCancer: Social Media Discussions About Colorectal Cancer During the COVID-19 Pandemic.

Colorectal cancer (CRC) is the second leading cause of cancer-related mortality worldwide. Social media platforms such as Twitter are extensively used to communicate about cancer care, yet little is known about the role of these online platforms in promoting early detection or sharing the lived experiences of patients with CRC. This study tracked Twitter discussions about CRC and characterized participating users to better understand public communication and perceptions of CRC during the COVID-19 pandemic. Tweets containing references to CRC were collected from January 2020 to April 2021 using Twitter's Application Programming Interface. Account metadata was used to predict user demographic information and classify users as either organizations, individuals, clinicians, or influencers. We compared the number of impressions across users and analyzed the content of tweets using natural language processing models to identify prominent topics of discussion. There were 72,229 unique CRC-related tweets by 31,170 users. Most users were male (66%) and older than 40 years (57%). Individuals accounted for most users (44%); organizations (35%); clinicians (19%); and influencers (2%). Influencers made the most median impressions (35,853). Organizations made the most overall impressions (1,067,189,613). Tweets contained the following topics: bereavement (20%), appeals for early detection (20%), research (17%), National Colorectal Cancer Awareness Month (15%), screening access (14%), and risk factors (14%). Discussions about CRC largely focused on bereavement and early detection. Online coverage of National Colorectal Cancer Awareness Month and personal experiences with CRC effectively stimulated goal-oriented tweets about early detection. Our findings suggest that although Twitter is commonly used for communicating about CRC, partnering with influencers may be an effective strategy for improving communication of future public health recommendations related to CRC.

Colorectal cancer conversations on Twitter: A content analysis of global perceptions and outreach efforts.

35 Background: Screening is highly effective at reducing colorectal cancer (CRC) mortality. Social media is extensively used to communicate about cancer care, yet little is known about the role of these online platforms in promoting CRC screening and early diagnosis. This study tracked Twitter discussions about CRC and characterized participating users to better understand public communication and perceptions of CRC on social media. Methods: Tweets containing references to CRC were collected from January 2020 to April 2021 using Twitter’s Application Programming Interface. Account metadata was used to predict user demographic information and classify users as either organizations, individuals, or influencers. Influencers represent high-impact users, defined by sizeable follower counts or verified Twitter status. Latent Dirichlet Allocation, a natural language processing model, was used to identify observed topics of discussion in the collected tweets. Results: There were 72,229 unique CRC-related tweets by 31,170 users. Tweets reached a daily maximum after Chadwick Boseman, a well-known American actor, died from CRC. Individuals accounted for the majority of users (62.8%); organizations (35.2%); influencers (2%). Influencers made the most median impressions (35,853 impressions). Tweets contained the following topics: bereavement (27.9%), appeals for early detection (19.4%), research (14.0%), National Colorectal Cancer Awareness Month (NCCAM) (13.7%), screening access (12.5%), and risk factors (12.4%). Tweets referencing bereavement had the most user engagement. Links to clinical trial enrollment information were the least shared type of embedded content (0.3%). Conclusions: Discussions about CRC largely focused on bereavement and early detection. Online coverage of NCCAM, personal experiences, and celebrity deaths related to CRC effectively stimulated goal-oriented tweets about early detection. Our findings suggest that Twitter may be a suitable platform for promoting and communicating future public health recommendations about CRC.

The Relationship Between Cancer Incidence and Awareness Activities and Google Online Search Volume in Turkey: A Retrospective Research

Objective: The aim of this study was to investigate the relationship between cancer incidence and Google search volumes for the six common types of cancer in Turkey. A second aim of the research is to determine whether online search activities are affected by awareness months for different cancer types. Study Design: A retrospective study was conducted by comparing the incidence of cancer between 2006 and 2017 for the cancers of lung, breast, stomach, prostate, colon and bladder published by IHME (The Institute for Health Metrics and Evaluation) and the Google Trends Search Volume designed by Google. The relationship between annual cancer incidence and Google Search Volume for selected cancer types was tested by Spearman Correlation analysis. Then, it was tested whether there was a difference in Google Search Volume averages of cancer types by months. Results: Google Search Volume has been found to have a significant and positive relationship with the incidence of stomach, colon and bladder cancers. In addition, it was concluded that cancer online searches were affected by awareness campaigns. Breast cancer had the highest Google search volume in October, which was determined as “Breast Cancer Awareness Month” and colon cancer was high in March, which was determined as “Colon Cancer Awareness Month”. Conclusion: These results indicate that online searches may reflect public awareness of the underlying cancer epidemiology. Enhanced understanding of online search patterns can increase traditional epidemiological surveillance, provide opportunities for targeted patient engagement, and enable the assessment of community awareness activities.

Googling on Colonoscopy: A Retrospective Analysis of Search Engine Statistics.

PurposeColonoscopy is a gold standard for screening and diagnosis of colorectal cancer (CRC). The data from the search engine may reveal what information on coloscopy gains the attention of Internet users. We aimed to investigate Google searches trends and terms related to colonoscopy.Patients and MethodsWe retrieved statistics searches related to colonoscopy using Google Trends (GT) and Google Ads (GA) for the period from April 2016 to March 2020. The GT data was used for the analysis of time and regional search patterns worldwide. GA data for Australia, Canada, Ireland, New Zealand (NZ), Poland, the United Kingdom (UK), and the United States (US) were used to calculate the search volume of categories of queries related to colonoscopy.ResultsGlobally, the relative search volume on colonoscopy has increased until the COVID-19 outbreak and revealed seasonal variation: the highest interest was observed in March (CRC awareness month), and the lowest during December (Christmas holidays). The highest number of searches per 1000 Google users-years was done in Poland (59.62) and the lowest in the UK (19.46). Most commonly, Google users searched for details on colonoscopy techniques (Australia, Canada, Ireland, NZ), anesthesia during the procedure (Poland), facility performing colonoscopy (UK, US). In all seven countries, less than 2% of queries concerned with bowel preparation before the procedure.ConclusionBefore the COVID-19 pandemic, the interest in colonoscopy has increased among Google users. Google users may underestimate the importance of proper bowel preparation.

Has National Colorectal Cancer Awareness Month increased endoscopy screening rates and public interest in colorectal cancer?

National Colorectal Cancer Awareness Month occurs each March to promote awareness and screening for colorectal cancer. The effectiveness of this public health campaign is unknown. The aim of this study was to determine the impact of National Colorectal Cancer Awareness Month on rates of screening endoscopies and on public interest in colorectal cancer. To examine the impact of National Colon Cancer Awareness Month on screening endoscopy rates, the National Endoscopy Database was retrospectively reviewed from 2002 through 2014. A time series of monthly number of colorectal cancer screening endoscopies per endoscopist in the data set was evaluated. To examine public interest in colorectal cancer, Google Trends data were collected on the monthly rates of terms related to colorectal cancer from January 2004 to July 2019. Impact of the month on screening endoscopies and public interest was assessed through an analysis of variance. Seasonality was tested for by how well a sinusoidal model fit the time series as opposed to a linear model utilizing a sum-of-squares F test. Review of National Endoscopy Database yielded 1,398,996 endoscopies, 94% were colonoscopies and 6% sigmoidoscopies, with 47% for colorectal cancer screening. Colorectal cancer screening endoscopy rates were not impacted by the month of the year, and these rates had no seasonality. However, Google searches related to colorectal cancer were significantly impacted by month of the year, specifically March, with significant seasonality observed in the data. National Colorectal Cancer Awareness Month is associated with an increased public interest in colorectal cancer based on user Google search trends. Yet, this has not translated into a demonstrable increase in the rates of screening. This presents an opportunity to capitalize on this increased public interest and harness this enthusiasm into increased screening.

How to cleanse the colon after the colon cancer awareness month?

How to cleanse the colon after the colon cancer awareness month?

Giant Inflatable Colon Enhances Community Knowledge and Intention for Colorectal Cancer Screening

Background and context: Cancer represents a global health threat and is considered a leading cause of death worldwide. Statistics in Lebanon show that cancer incidence rate has dramatically increased over the last decades, which calls for the development and implementation of effective strategies in combatting cancer through awareness, prevention, and early detection. Colorectal cancer (CRC) continues to be the second most common in women and fourth most common among men in Lebanon. Aim: Since March is the colorectal cancer awareness month, the Cancer Prevention and Control Program - Naef K. Basile Cancer Institute - American University of Beirut (AUB) Medical Center in collaboration with AMALOUNA, an AUB affiliated educational organization that aims to raise awareness about cancer, cancer prevention and cancer research, launched a campaign tailored for this type of cancer. The aim of this campaign was to raise awareness about colorectal cancer, break the cycle of fear, and increase public knowledge about CRC using interactive educational activities. Strategy/Tactics: A walk-through giant inflatable colon was built specifically for the event. This educational tool offers participants a visual representation of the normal histology of the colon, the different stages of colon cancer development ranging from a simple polyp to a metastatic cancer as well as preventive tips. Vouchers for colorectal cancer screening tests were distributed to eligible participants after the visit of the colon. Program/Policy process: Since 2017, we have conducted six outreach activities all over Lebanon in which the inflatable colon was displayed for educating the community about CRC. To evaluate whether this giant colon improves the community knowledge about CRC, pre and post-surveys related to the age of screening, risk factors, symptoms, and CRC prevention were collected anonymously before and after touring the inflatable colon. Outcomes: Data collected from more than 700 participants demonstrated that the inflatable colon increased participants' knowledge concerning CRC. Most importantly, it increased their intention to get screened by 27.5% and their comfort with talking to others about CRC screening by 19%. What was learned: These results indicate that the interactive colon is an effective educational tool that can make a positive impact by increasing public awareness about CRC and their intention to get screened. Such educational efforts conducted in the community promote cancer screening and encourage people to adopt healthier lifestyles.

Cancer Awareness Campaign and Screening

Background and context: Colorectal cancer is the 3rd leading cause of cancer-related mortalities, which can be prevented by early screening. However, inadequate knowledge regarding the importance of early screening contributes to low cancer screening rates in the population. Aims: A collaborative initiative between David Omenukor Foundation and Fight Colorectal Cancer Organization strives to cancer awareness and screening in the population. Strategy: The David Omenukor Foundation organized a 5-km WALK-A-THON in Mesquite, Texas, on March 10, 2018, as part of the activities to observe the March Colorectal Cancer Awareness Month. During the event, participants received free screening for colorectal, breast, and prostate cancers. Free cholesterol, diabetes, and blood pressure testing were also done because of the impact of these comorbidities on health outcomes. Education experts on cancer were available to teach aspects of healthy diets and exercise. Two cancer patients and a survivor also shared their experiences. Program/Policy process: The program seeks to increase cancer awareness among populations and promote the culture of early and regular screening. Outcomes: Free colorectal and breast cancer screenings were provided to 270 people. About 60 people received free prostate-specific antigen (PSA) test, whereas 135 people received fecal occult blood testing. Similarly, 75 women received mammogram testing. The total number of patients who received colorectal cancer screening increased from 50 on 11th March 2017 to 135 on March 11th, 2018. Impact: The foundation created awareness of all forms of cancer and emphasized the value of early screening as the most effective to avoid the cancer scourge. The participants benefitted from nutritional advice as one strategy for reducing the risk of colorectal cancer. The event indicated that the campaign on early screening for detection was beginning to catch up. Regular interactive events and screenings increase knowledge of cancer and reduce disparities in cancer screening in the community.

Saturday Screening Saves the Day!

Introduction: Colorectal cancer (CRC) is the second leading cause of all cancer related deaths in the USA. Data from 2015 reveals that only 60-63% of adults 50 years and older had CRC screening. The National CRC Roundtable in coalition with the American College of Gastroenterology aimed to increase the rates of CRC screening to 80% by 2018. The use of colonoscopy for screening is dependent on the availability of the physician and the endoscopy center. The demand for colonoscopies is on the rise, and for many individuals weekdays may not be a reasonable time to undergo a procedure. The aim of this study was to evaluate the impact of improved access to colonoscopy by offering Saturday screenings as it relates to polyp detection and examine patient preference for weekend availability. Methods: During CRC awareness month (March 2018), gastroenterologists at Allegheny Health Network offered weekend screening colonoscopies at eight outpatient endoscopy centers. A survey outlining patient demographics and opinions on weekend screening were collected. Pathology results and adenoma detection rates (ADR) were collected one week after procedure completion. Results: A total of 80 patients underwent a colonoscopy, of which 59 (74%) were female and 67 (84%) were Caucasian. The majority of patients (87.5%) stated they were more likely to have a colonoscopy when offered on a weekend, with 74% of patients preferring bowel preparation on Friday followed by a Saturday procedure. In addition, 41 (51%) patients stated their main cause of delaying their screening colonoscopy was due to weekday employment. Pathology results revealed that 54 (67%) patients had at least one polyp, of which 35 (49%) had an adenoma (26 tubular, 8 sessile serrated, and 1 tubulovillous adenoma). Surveillance intervals also changed to 5, 3, and 1 year for 29, 9, and 4 patients, respectively. Conclusion: CRC is one of the most preventable cancers if caught early in its course. Our study highlights that many individuals delay their screening colonoscopy due to their inability to take off work. Weekend availability offers greater access to colonoscopy which can help prevent CRC. Treatment can cost up to $30,000 per patient once diagnosed. In turn, the cost of a screening colonoscopy is approximately $3,000. Saturday screenings provide a substantial impact in the mission to provide high quality care, improve patient experience, and decrease overall healthcare costs.2755_A Figure 1. Results from our 8-Question Survey from Saturday Screenings (N=80)2755_B Figure 2. Number of Patients with Adenomas2755_C Figure 3. Types of Adenomas Found

Colon Cancer Awareness Month: Focusing on Treatment Strategies (Colon Cancer Awareness Month Guest Comment)

Colon Cancer Awareness Month Guest Comment by Ruku Verma and Simran Singh Sachdev

Effectiveness of colon cancer awareness month compared to pancreatic cancer awareness month at increasing internet search activity.

240 Background: Colorectal and Pancreatic cancers have high mortality with about 50,000 patients dying from each annually. Cancer awareness months (CAMs) have been earmarked by cancer societies to change public attitudes towards prevention, screening and treatment of various cancers. Awareness campaigns lead by these societies have benefited significantly from readily available Internet access and growing social media. Internet search activity has been used as a surrogate tool to gauge public interest and awareness. We aimed to assess if cancer awareness months impact internet search activity for these cancers. Methods: Using Google Trends, a public web facility of Google Inc. based on Google Search, we compared the relative frequency of search of terms ‘Colon Cancer’ and ‘Pancreatic Cancer’ between 1st January 2004 and 31st December 2016 (n=156 months). The program assigns a reference value of 100 for the point of maximum popularity from among the search terms, and provides relative monthly scores for all terms, which we termed relative interest scores (RIS). Within each cancer, the median RIS was then compared for their respective awareness months (n=13; March for CRC and November for PC) to the to the remaining months (n=143). Results: The median (IQR) RIS for CRC was significantly higher for CRC during its CAM:54 (51-63) as compared to other months:47 (44-50); p=0.0001. However, there was no significant difference in the median RIS for PC during its CAM: 33 (27.5-35.5) as compared to other months: 31 (27-33); p=0.43. The point of maximum popularity during the study period (i.e. RIS 100), and other peaks in search volume for PC corresponded to significant news events associated with PC, and PC search volumes surpassed CRC in those months. Conclusions: Ongoing campaigns for CRC awareness appear to be effective in increasing internet search activity during its respective CAM. While differences could be due to established CRC screening guidelines, other reasons behind the success of CRC awareness campaigns should be adopted by PC as awareness campaigns for the two cancers are otherwise similar.

Endothelial cell metabolism inhibition: A new approach to the treatment of resistant metastatic colorectal carcinoma

&lt;p&gt;March has been officially dedicated as National Colorectal Cancer (CRC) Awareness Month. This is important, as CRC incidence is now dramatically increasing in many developing countries that are undergoing major economic transition.&lt;/p&gt;

Endoscopy again supports Colorectal Cancer Awareness Month

Endoscopy again supports Colorectal Cancer Awareness Month

Colorectal Cancer Awareness Issue

The month of March is internationally recognized as Colorectal Cancer Awareness Month, and this March issue of Endoscopy is dedicated to important news from colorectal cancer research. With their concern for prevention, early detection, and better treatment, endoscopists have long been at the forefront in promoting awareness of colorectal cancer. As demonstrated in this issue of the Journal, endoscopy research is still a very important driving force in the fight against colorectal malignancy, one of the leading cancer killers.

Community Uptake of an Online CRC Risk Assessment

Purpose: Colorectal cancer (CRC) screening is underutilized. Major barriers include lack of physician recommendation or poor understanding of personal risk. We created an online CRC risk assessment incorporating family and personal history of adenomatous polyps and CRC which created a family tree, personalized risk score and screening recommendations based on ACG guidelines. Modifiable lifestyle factors were assessed and recommendations provided to minimize risk due to those factors (BMI, diet, smoking, physical activity). We sought to assess the feasibility and uptake of this tool. Methods: The risk assessment was created for CRC awareness month. Survey invited participants to complete questions on demographics, previous use of CRC screening, and family and personal history of polyps and CRC in 3 generations. Height weight, age > or < 50, race, quantified smoking exposure, physical activity, and dietary habits were assessed. Results: 3515 participants completed the risk assessment. 67% of participants were male, 81% white and 46% were under the age of 50. The mean BMI was 28.4. 53% reported eating < 3 servings of fruits and vegetables daily and 45% did not exercise at least 30 minutes 3-4 days per week. 61% of individuals reported never smoking and 28% were former smokers. 39% of individuals underwent previous screening with 89% of them reporting colonoscopy use. 11% of the population reported a history of adenomatous polyps and 1.3% reported CRC. The 405 indivdiduals who reported polyps/CRC had a higher BMI 29.6 vs. 28.1 (p= 0.013); age over 50 19% vs. 6% (p < 0.001); greater current packs of cigarettes (p = 0.024) and years of current smoking (p=0.032). Multivariable regression analysis (Table 1)confirmed that age, BMI and FDR with adenomatous polyps and cancer were associated with an increased OR for colorectal neoplasia. The risk score (Table 2), based upon the personal and family history provided revealed that 65% of the population was average risk, 11% low risk, 22% medium risk and 2% high risk. Self reported use of screening was associated in multivariable analysis to be associated with increased dietary intake of fruits/vegetables (3-5 vs. <3 servings daily 1.8 (1.4-2.3, p< 0.0001), FDR with CRC 2.2 (1.6-3.2, p<0.0001) and sibling with CRC 4.2 (2.3-7.7, p=0.0001). Conclusion: An online risk assessment tool is a feasible modality to provide consumer driven education regarding CRC risks and appropriate screening measures according to ACG guidelines. Whether the tool increases uptake of CRC screening is not known.Table: Factors associated with reported personal Hx CRC/polypsTable: Risk factors, risk score and screening recommendations

Colorectal Cancer Screening and Early Detection

Colorectal Cancer Screening and Early Detection

Colorectal Cancer Awareness Month

Colorectal Cancer Awareness Month