| Family
History
| New
research confirms that the genetic component is more significant
than once thought. When we examine the genetic link, we consider
only 1st degree relatives (parents & siblings). Has anyone
in your family (mother, father, sister, brother) been diagnosed
with: |
|
Colon
or Rectal Cancer |
|
- One
relative
- More
than one relative
- None
| 10
15
1 |
|
Colon
Polyps |
|
- One
relative
- More
than one relative
- None
- Familial
Polyposis
| 10
15
1
30 |
|
Colon
cancer or polyps occurred in my family before age 40 |
|
|
- Yes
- No
| 30
1 |
| Personal
History
| A
person's personal history also plays a role in predicting future
illnesses. Have you ever had:: |
|
Familial
Polyposis |
30 |
|
Colon
Cancer |
30 |
|
Colon
Polyps |
30 |
|
Rectal
Cancer |
30 |
|
Breast
Cancer |
3 |
|
Gynecolgic
Cancer |
3 |
|
Radiation
Treatment to the Pelvis |
3 |
|
Inflammatory
Bowel Disease (Crohn's, Ulcerative Colitis) |
20 |
|
Rectal
Bleeding or Positive Stool Test for Occult Blood |
5 |
|
Change
in Bowel Habits Lasting a Month |
3 |
|
None
of the Above Risk Factors |
1 |
| Age
Factors
| Age
is one of the main risk factors in the development of colon
and rectal cancer. Over 90% of these cancers occur in people
50 years of age and older. |
|
Age |
|
- Less
than 40 years old
- 40
to 49 years old
- 50
years old or older
| 1
2
10 |
| After
you have completed the test, select the one answer above that
gave you the most points and multiply that number by the age
factor above. This will be you total point score: |
| Age
Factor x Highest Risk Factor
= Risk Score |
| Risk
Score |
less
than 5
5 to 29
greater than 29 |
Average
Risk
Moderate Risk
High Risk |
| Screening
Recommendations
|
| Average
Risk
| Should
reassess their risk annually and plan for an annual test for
occult blood in the stool and digital rectal exam after age
40; Baseline Colonoscopy at age 50 and then every five years therafter. |
| Moderate
Risk
| Are
at significant risk for developing colon cancer in their lifetime
and should have baseline Colonoscopy at age 40 (or ten years before the index family case) and then every five years therafter. |
| High
Risk
| Should have Colonoscopy at least every three years. |