Tag Archives: screening

Texas Native Wins A Free Screening and a Second Chance

“A cook-off saved my life.” That’s what Brett Gallaway wrote on his Facebook page on October 3, 2012, after reality sank in. He’d just heard from his doctor that a precancerous polyp had been found during his screening colonoscopy.  A polyp that, if left in place, could have developed into full-blown colorectal cancer. “I didn’t even know I had it,” Brett said.  “I didn’t have any symptoms.” Thanks to a raffle he won at a barbecue cook-off, he was able to receive a free colonoscopy and find the cancer early. Brett’s Facebook page filled with “Likes” and comments. A lot of them were testimonials from friends who had brushes with cancer or

Diet and Exercise Habits Strongly Related to Higher Rates of CRC in People with Lower Education and/or Income

Fewer people in the U.S. are getting colorectal cancer (CRC), but that progress is seen much more often in well-off and highly educated Americans. In fact, the gap is widening in rate of colorectal deaths in people with less education and/or who live in deeply disadvantaged communities. Researchers now have shown that differences in weight, diet and physical activity play a huge role in the higher rates and deaths from CRC among people of lower socioeconomic status. In a paper published in the Sept. 4 2012 Journal of the National Cancer Institute, a careful statistical analysis of  a 10-year observational study of a half-million people indicated that helping people of lower

Fighting Colorectal Cancer on Many Fronts

Indran Krishnan, MD, FRCP (London), FRCP(C), FACP, FACG is fighting colorectal cancer on many fronts. As a gastroenterologist, he personally screens people every week. As an associate professor at Emory University, he trains the next generation of physicians. As an advocate, he serves on Fight Colorectal Cancer’s Board of Directors, and was a founding member of the Georgia Colon Cancer Coalition. In the first 4 months of 2012, Indran stepped up his efforts by: Meeting with Georgia Governor Nathan Deal and members of the Georgia legislature to introduce them to Fight Colorectal Cancer and spread the word about screening; Attending this year’s Call-on Congress, our annual advocacy training and lobby

OB-GYNs Urge Colorectal Cancer Screening for Their Patients

Can your annual visit to your gynecologist save your life? Every year more than 70,000 women are diagnosed with colorectal cancer.   Many of those women see a gynecologist for an annual check-up.  In fact, the gynecologist may be their primary health care provider with a unique opportunity to help women decide on colorectal cancer screening. A new Committee Opinion from the American College of Obstetricians and Gynecologists says that while colonoscopy is the preferred method for screening, women should also hear about other options.  The Committee Opinion stresses: Women should be screened using the method that they are most comfortable with and most likely to complete.

Aussie Study Supports National Screening Program

As the Australian government considers the future of its National Bowel Cancer Screening Program, Australian and US researchers provide compelling evidence of the cost-effectiveness of expanding the national screening program. Australia has one of the highest colorectal cancer (CRC) mortality rates in the world. Its current screening program (costing about $29 million a year) provides a one-time immunochemical fecal test (iFOBT) for people aged 50, 55, and 65 years. Program funding expires in mid-2011. A study funded by the Australian government and the US National Cancer Institute, published in the Feb. 21 Medical Journal of Australia, found that expanding the program to screen all 5 million Australians aged 50 -74

Annual Fecal Occult Blood Test Cost-Effective Screening Option

What’s the best way to get large groups of people screened for colorectal cancer? Surprisingly it may not be colonoscopy but fecal occult blood testing (FOBT). A computer model has found annual home testing with a  fecal occult  blood test, either Hemoccult II® or Hemoccult SENSA®,  is more cost-effective than colonoscopy every 10 years to screen people of average risk for colorectal cancer. The model compared the number of life years saved under several scenarios of costs and  compliance with annual testing and follow-up colonoscopies after positive guaiac tests.  For the same fixed budget, more people could be screened with an FOBT and more life years saved.

Screening Rates Improving, but Inequalities Remain

One out of three Americans who needs colorectal cancer screening hasn’t gotten it. There are 22 million men and women in the US who haven’t had a life-saving test than can prevent colorectal cancer. But the good news is that screening rates are going up.  In 2000, half of people who should have been screened reported a current test.  Now almost two-thirds have colorectal cancer screening up-to-date The bad news is that screening rates for the uninsured are almost half those for people with insurance. 

Capsule Colonoscopy Has Low Sensitivity

A swallowed capsule equipped with a video camera didn’t find as many polyps as conventional colonoscopy and missed 5 of 19 cancers. Sensitivity improved with a well-cleaned colon. Doctors in Europe examined 328 patients who either had colon disease or were suspected of having it with both a capsule colonoscopy and traditional optical colonoscopy.  The capsule contained  tiny video cameras at both ends that transmitted images wirelessly from the upper GI tract and the colon.

Colorado Colorectal Screening Program

The Colorado Colorectal Screening Program began in 2004 screening uninsured people by linking community primary care clinics to endoscopists. Funding comes from an additional tax on tobacco.  Since its beginning in 2004, CCSP has screened 6,850 people. The program estimates that it has prevented 180 cases of colorectal cancer and 80 deaths. Primary focus is on the uninsured 50 to 64, but colonoscopies are also offered to high-risk people under 50.  Program participants need to have incomes below 250 percent of poverty.

ACG Updates Colorectal Cancer Screening Guidelines

In their new colorectal screening guidelines, the American College of Gastroenterology, says that colonoscopy, beginning at age 50 and performed every 10 years, is the “preferred” screening test for colorectal cancer.  They recommend that physicians first offer this test alone rather than a menu of options. However, if patients are not willing to have a colonoscopy, they support offering: Preferably. a cancer prevention test: Either flexible sigmoidoscopy every 5 to 10 years  or CT colonography every 5 years. A test primarily for cancer detection: Preferred test is fecal immunohistochemical test for blood (FIT). They further recommend that African Americans begin testing at 45 rather than 50.