Tag Archives: screening

USPSTF Updates Screening Guidelines

The United States Preventive Services Task Force (USPSTF) has updated their colorectal cancer screening recommendations. Changes from the 2002 guidelines include recommendations not to routinely screen people over 75 and not to screen people over 85 at all. Decisions about screening between 76 and 85 need to be made in light of individual health, prior screening, and life expectancy. The recommendations have dropped barium enema as a screening option. They do not include either CT colonography (CTC or so-called virtual colonoscopy) or DNA stool tests, saying that there was not enough current evidence to judge the harms and benefits of the new technology.

Colorectal Cancer Screening Before 65 Could Save Medicare Dollars

Screening people for colorectal cancer before they reach 65 and are eligible for Medicare could save millions of dollars of future Medicare costs according to a New York City study. While Medicare covers the cost of screening colonoscopies, people need to be 65 to benefit.  Many uninsured adults from 50 to 64 have no way to get screened for colorectal cancer at all.

Few Polyps in Under Fifties

Current colorectal cancer screening guidelines call for testing average risk people when they reach their fiftieth birthday.  But is that soon enough?  Would earlier screening find more adenomatous polyps and prevent more colorectal cancer? Scientists at Johns Hopkins School of Medicine reviewed nearly 3,600 autopsies performed at Johns Hopkins Hospital from 1985 through 2004.  They compared the younger group from 20 to 49 to older  patients from 50 to 89. They looked at the adenomatous polyps found in each decade of life, as well as patient sex and race and the location of the polyps in the colon. Fewer than 2 percent of the autopsied patients in their twenties had

Virtual Colonoscopy Effective Screening Method

Computerized tomographic colonography (CTC), so-called virtual colonoscopy, proved accurate in locating colon polyps or cancers 10 millimeters or larger in a large study conducted in a number of community centers across the United States.  The x-ray-based test found 90 percent of l0 millimeter polyps identified by traditional colonoscopy, which uses a lighted tube inserted into the rectum to view the colon.

Lack of Insurance and Regular Medical Care Influences Colorectal Cancer Screening

Half of Americans over 50 have not been screened for colorectal cancer according to a new survey conducted by the Centers for Disease Control (CDC). The 2005 National Health Survey interviewed 31,000 adults, including 13,500 who were over 50.  It found that 50 percent of people over the age of 50 had been screened for colorectal cancer, but the other half had not.  While this was an improvement over the 43 percent screening rate in 2000, it was far from desirable according to the researchers who analyzed the information.

Colonoscopy Screening Rates Rise in New York City

Colonoscopy screening increased by 50 percent in New York City in the past five years, with the biggest increase occurring among minorities. Much of the improvement is credited to a coalition of doctors, city officials, union workers, and hospital administrators belonging to the New York Citywide Colon Cancer Control Coalition, known as C5. The Coalition adopted a single colorectal cancer screening recommendation:  all people of average risk over the age of 50 have a colonoscopy every ten years.  People with a family history or other risk factors would be screened more often. Funding was available to cover the uninsured. One factor that led to success was using patient navigators to