Tag Archives: colorectal cancer screening

More Choices Increase Colorectal Cancer Screening Use

When people were offered a personal choice of either FOBT or colonoscopy screening by their primary care provider, more actually completed the test they chose than if only one option was offered. In a study of  1,000 ethnically and racially diverse people, the lowest percentage had a colonoscopy when that was the only test offered.  More completed fecal occult blood testing if it was the single choice. Overall 65 percent of the 1,000 patients studied were screened after their doctor recommended testing.

One-Time Flex Sig Cuts Colorectal Cancer Deaths

One flexible sigmoidoscopy screening between the ages of 55 and 64 reduced both colorectal cancer diagnoses and deaths during a randomized clinical trial in the United Kingdom. After following 170,000 people for more than 11 years, deaths from colorectal cancer were 43 percent lower among those who had a flexible sigmoidoscopy screening.  Diagnosis of colorectal cancer was reduced by 33 percent. This is the first prospective clinical trial that actually proved that examining the rectum and colon with a scope could reduce colorectal cancer deaths.

UK Screening Efforts Find Cancer Earlier

First results from the National Bowel Cancer Screening Program in the United Kingdom found significantly more colorectal cancers in early, curable stages than in the years before the program began. Nearly half of the cancers found during screening were stage I (Dukes A), while previously only 1 in 10 were diagnosed at that earliest stage. However, in another analysis of the pilot NHS NBCSP efforts, a significant percentage of patients who had cancer found on screening, believed to be without symptoms of colon or rectal cancer, recognized and reported symptoms when asked before their follow-up colonoscopies.

Blacks Less Likely to Get Screening Follow-up

African Americans get more colorectal cancer than whites and die more often. Whether this is because of different biology or lack of access to high-quality medical care has long been debated. In a new study, blacks had very similar rates of polyps found during a screening flexible sigmoidoscopy.  But they were less likely to get a recommended follow-up colonoscopy. While about 1 in 4 people had polyps discovered during their sigmoidoscopy, nearly identical percentages for blacks and whites, blacks got colonoscopy follow-up about 12 percent less often than whites.

Catch a Killer with CSI:NY's Hill Harper

Catch a Killer: Get Screened for Colon Cancer reminds African Americans to be screened for colorectal cancer. CSI:NY actor Hill Harper urges screening for colorectal cancer in a new PSA from the American Society for Gastrointestinal Endoscopy (ASGE). Guidelines suggest that those at average risk begin screening at age 50, however, some studies have shown that African-Americans are more frequently diagnosed with colon cancer at a younger age, leading some experts to suggest that African-Americans should begin screening at age 45.

Experts Recommend Changes for Colorectal Screening Access and Quality

The first priority of an expert panel looking at increasing the number of people being screened for colorectal cancer was to “Eliminate financial barriers to colorectal cancer screening and appropriate follow up.” Meeting for two days in Washington in February, a National Institutes of Health State-of-the-Science conference considered what is known– and not known– about why people choose or avoid screening, how to improve screening quality, and what the healthcare capacity is to deliver colorectal cancer screening to the US population. At the end of the meeting, the panel released a consensus statement with their recommendations for enhancing the use and quality of colorectal cancer screening.

Barriers and Facilitators for Colorectal Cancer Screening in Older People

Although Medicare pays for colorectal cancer screening, not all older people enrolled in Medicare are screened. Reviewing published medical literature, a task group from the National Colorectal Cancer Roundtable found research identifying both barriers to screening and factors that made it easier. The most frequently mentioned barrier related to healthcare providers was lack of a doctor’s recommendation.  Having a usual source of health care facilitated getting screened.

Colorectal Cancer News in Brief: December 29

Briefly Factors related to the patient, year of surgery, and tumor itself and not surgeons or pathologists explain low lymph node counts after colon and rectal surgery.  Lack of colorectal cancer screening leads to emergency surgery and complications and death among the elderly. Americans without health insurance are more likely to die, even when factors like overall health, smoking, and income are considered, and cancer patients who have support from family and friends at diagnosis are much more likely to look on the entire experience as a chance for positive growth years later. Finally, FDA has a good video to help people avoid health care frauds. Happy Holidays.  Enjoy family,

Colorectal Cancer News in Brief: October 23

Briefly: Health care providers are less likely to recommend colorectal cancer screening to their patients with a high school education or less.  IV ibuprofen enhances morphine to control post-operative pain, reducing pain and letting patients use less morphine. Superspreaders with dirty hands infect large numbers of patients with hospital-borne infections. The United Ostomy Associations of America has a new video for new and potential ostomates that provides encouragement and support, and CR Magazine’s monthly podcast provides help coping with medical testing stress.

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