(Northern Sweden) Decentralized colonoscopic surveillance with high patient compliance prevents hereditary/familial colorectal cancer

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       Northern Sweden Health Care Region. Median population 11995–2012  = 898 696

                         study: 278 individuals from 118 different families

Conclusions

Our study provides a reasonably safe strategy for surveillance of FCRC and HCRC with high patient compliance in a sparsely populated area by using decentralized colonoscopies. However, health economic analyses and modeling are needed to find the most cost effective way to prevent cancer devel- opment in individuals with a family history of CRC. These future studies of surveillance programs should include patient

compliance as an important factor and not only focus on start of surveillance and the lengths of the intervals