Gatekeeper role of gastroenterologists and surgeons in recognising and discussing familial colorectal cancer

open access

 Despite the relatively high frequency of familial and hereditary CRC syndromes and the proven benefit of screening, referral for genetic counselling appears to be suboptimal leading to under-diagnosis of hereditary CRC [4]. Furthermore, referral is often patient-initiated leading to under-representation of patient....

 Contrary to our expectations, the checklist did not increase the discussion of cancer in the family during the first consultation, as reported by the patients.(ceiling effect)