Colorectal Cancer Survivors' Receptivity toward Genomic Testing and Targeted Use of Non-Steroidal Anti-Inflammatory Drugs to Prevent Cancer Recurrence.


Journal

Journal of community genetics
ISSN: 1868-310X
Titre abrégé: J Community Genet
Pays: Germany
ID NLM: 101551501

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 11 02 2021
accepted: 22 12 2021
pubmed: 9 1 2022
medline: 9 1 2022
entrez: 8 1 2022
Statut: ppublish

Résumé

Genomic testing and targeted use of non-steroidal anti-inflammatory drugs (NSAIDs) may mitigate cancer recurrence risks. This study examines colorectal cancer (CRC) survivors' interest and receptivity to these strategies. Patients diagnosed with stage I-III CRC in 2004-2012 were recruited through the New Mexico Cancer Registry to complete a cancer survivorship experiences survey. We assessed interest in genomic testing, daily aspirin (ASA) and NSAID use, and receptivity to future daily ASA/NSAIDs. Descriptive statistics and multivariable logistic regression models estimated factors associated with genomic testing interest. Receptivity to future ASA/NSAIDs use was estimated for non-users of ASA/NSAIDs. Among CRC survivors (n = 273), 83% endorsed interest in genomic testing, 25% were ASA users and 47% ASA/NSAIDs users. In our final model, genomic testing interest was associated with being uncoupled [OR = 4.11; 95% CI = 1.49-11.35], low income [OR = 0.35, 95% CI: 0.14-0.88], smoking history [OR = 0.35, 95% CI: 0.14-0.90], low [OR: 0.33, 95% CI: 0.07-1.43] and moderate [OR: 0.26, 95% CI: 0.11-0.61] health literacy, and personal CRC risk worry [OR: 2.86, 95% CI: 1.63-5.02, p = 0.0002]. In our final model, ASA use was associated with age [OR: 1.05, 95% CI: 1.01-1.10] and cardiovascular disease history [OR: 2.42, 95% CI: 1.23-4.73, p = 0.010]. Among non-users ASA/NSAIDs, 83% reported receptivity to ASA/NSAIDs to reduce cancer risks, and no significant correlates were identified. The majority of survivors' expressed genomic testing interest and endorsed receptivity toward ASA/NSAIDs use for cancer risk management. Further research to optimize ASA/NSAIDs use guided by genomic testing is warranted.

Identifiants

pubmed: 34997901
doi: 10.1007/s12687-021-00574-9
pii: 10.1007/s12687-021-00574-9
pmc: PMC8941057
doi:

Types de publication

Journal Article

Langues

eng

Pagination

201-214

Subventions

Organisme : NCI NIH HHS
ID : K07 CA215937
Pays : United States
Organisme : NCI NIH HHS
ID : K99 CA256043
Pays : United States
Organisme : NCI NIH HHS
ID : R00 CA256043
Pays : United States

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Denalee M O'Malley (DM)

The State University of New Jersey, New Brunswick, NJ, USA. omalledm@rwjms.rutgers.edu.
Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA. omalledm@rwjms.rutgers.edu.
Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, 112 Paterson St, New Brunswick, NJ, USA. omalledm@rwjms.rutgers.edu.
Rutgers Cancer Institute of New Jersey, 195 Little Albany St, New Brunswick, NJ, USA. omalledm@rwjms.rutgers.edu.

Cindy K Blair (CK)

Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA.

Alissa Greenbaum (A)

The State University of New Jersey, New Brunswick, NJ, USA.
Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA.
Rutgers Cancer Institute of New Jersey, 195 Little Albany St, New Brunswick, NJ, USA.

Charles L Wiggins (CL)

Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA.
New Mexico Tumor Registry, University of New Mexico, Albuquerque, NM, USA.

Ashwani Rajput (A)

Department of Surgery, John Hopkins University, Baltimore, MD, USA.
The Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA.

Vi K Chiu (VK)

A Cedars-Sinai Affiliate, The Angeles Clinic and Research Institute, Santa Monica, CA, USA.

Anita Y Kinney (AY)

The State University of New Jersey, New Brunswick, NJ, USA.
Rutgers Biomedical and Health Sciences, New Brunswick, NJ, USA.
Rutgers Cancer Institute of New Jersey, 195 Little Albany St, New Brunswick, NJ, USA.
School of Public Health, Department of Biostatistics and Epidemiology, Piscataway, NJ, USA.

Classifications MeSH