Accuracy of colorectal polyp self-reports: Findings from the colon cancer family registry

Lisa Madlensky, Darshana Daftary, Terrilea Burnett, Patricia Harmon, Mark Jenkins, Judi Maskiell, Sandra Nigon, Kerry Phillips, Allyson Templeton, Paul J. Limburg, Robert W. Haile, John D. Potter, Steven Gallinger, John A. Baron

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Introduction: Colorectal adenomas and other types of polyps are commonly used as end points or risk factors in epidemiologic studies. However, it is not known how accurately patients are able to self-report the presence or absence of adenomas following colonoscopy. Methods: Participants in the Colon Cancer Family Registry provided self-reports of recent colorectal cancer (CRC) screening activity, and whether or not they had ever been told they had a polyp. Positive and negative predictive values for polyp self-report were calculated by comparing medical records with self-reports from 488 participants. Results: The positive predictive value for self-reported polyp was 80.9%, and the negative predictive value was 85.8%. The predictive values did not differ by age group or sex, but participants with a previous diagnosis of CRC had a lower negative predictive value (76.2%) than participants with no personal history of CRC (89.0%; P = 0.04). Conclusions: Predictive values for self-reports of polyps are fairly high, but researchers needing accurate polyp data should obtain medical record confirmation. Pursuing medical records on only those participants self-reporting a polyp could result in an underestimation of the polyp prevalence in a study population.

Original languageEnglish (US)
Pages (from-to)1898-1901
Number of pages4
JournalCancer Epidemiology Biomarkers and Prevention
Issue number9
StatePublished - Sep 1 2007

ASJC Scopus subject areas

  • Medicine(all)


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