Navigation Links
Colonoscopy linked to decrease in colorectal cancer deaths, but many more could have been prevented
Date:3/8/2011

OAK BROOK, Ill. March 8, 2011 In recognition of National Colorectal Cancer Awareness Month during March, GIE: Gastrointestinal Endoscopy has published a special issue for March on colonoscopy and colorectal cancer. The issue includes a study showing that colonoscopy has prevented a substantial number of deaths from colorectal cancer and that many more could have been prevented with more widespread use. The analysis reports that approximately 13,800 to 22,000 colorectal cancer deaths could have been prevented in 2005, whereas 7,300 to 11,700 were actually prevented through colonoscopy use. GIE: Gastrointestinal Endoscopy is the monthly peer-reviewed scientific journal of the American Society for Gastrointestinal Endoscopy (ASGE).

"March 2011 marks the twelfth annual National Colorectal Cancer Awareness Month. Numerous efforts are made nationwide to increase patient knowledge regarding colorectal cancer, increase screening efforts and lifestyle changes to reduce risk. As gastroenterologists and practicing endoscopists, much of our daily efforts revolve around screening, diagnosis, and treatment for this malignancy. Therefore, GIE is devoting this issue to topics germane to these endeavors," said GIE Editor Glenn M. Eisen, MD, MPH, FASGE. "Among the important studies in this special issue is research reporting that a substantial number of colorectal cancer deaths have been prevented through the use of colonoscopy, however, many more deaths could have been prevented with more widespread use of this screening method. Colonoscopy can be an effective tool to reduce mortality rates from this largely preventable disease, but we still have a long way to go in getting more people screened for colorectal cancer."

"Colorectal cancer mortality prevented by use and attributable to nonuse of colonoscopy"

Colonoscopy has contributed to decreasing mortality rates and it is now the predominant tool for colorectal cancer screening in the United States. Results from national health surveys indicate that approximately half of the population eligible for colorectal cancer screening has had either a colonoscopy or sigmoidoscopy in the past ten years. To date, the effectiveness of the use of colonoscopy in reducing colorectal cancer-related mortality has only been directly shown in epidemiological studies. The effectiveness of colonoscopy use is indirectly supported by studies that showed decreases in colorectal cancer mortality associated with sigmoidoscopy and by studies that observed decreases in colorectal cancer incidence associated with removal of adenomatous (precancerous) polyps as well as with colonoscopy in general.

The aim of this study was to estimate the impact of current colonoscopy use on colorectal cancer mortality and the further potential of colonoscopy to reduce colorectal cancer mortality in the U.S. population by assuming effectiveness as reported in published epidemiological studies. Data from three sources were combined to perform the analysis. Data on history of colonoscopy use were obtained from the National Health Interview Survey; data on colorectal cancer mortality and on population sizes were drawn from the Surveillance, Epidemiology, and End Results program database; and estimates of the effectiveness of colonoscopy were derived from the medical literature. The year 2005 was the latest for which mortality data and suitable colonoscopy use were available. The study was limited to the population aged 50 years and older, which reflects the screening-eligible age.

A statistical analysis was performed and showed that approximately 13,800 to 22,000 colorectal cancer deaths (depending on the assumed effectiveness) could have been prevented in 2005, whereas about 7,300 to 11,700 were actually prevented through the use of colonoscopy. Therefore, approximately twice as many colorectal cancer deaths could have been prevented by colonoscopy than were actually prevented.

Other highlights from the March issue:

"The Colorectal Cancer Control Program: partnering to increase population level screening"

Researchers from the Centers for Disease Control and Prevention (CDC) authored a special article describing their work in extending screening for colorectal cancer prevention. In 2009, the CDC began a public health initiativethe Colorectal Cancer Control Program, which includes two components: a screening provision, supporting clinical service delivery for low income, under-insured persons; and screening promotion, involving activities to encourage broad, population-level screening. The article describes in detail their efforts to increase screening adherence to 80 percent of the population.

"Dynamic patient position changes during colonoscope withdrawal increase adenoma detection: a randomized, crossover trial"

Good colonoscopic withdrawal technique is associated with lower adenoma (precancerous polyp) miss rates and there has been a recent resurgence of research interest in elements of basic operator technique. Dynamic patient position changes during colonoscope withdrawal can improve luminal distension. In this study, researchers assessed whether position changes also improve polyp and adenoma detection, and the study concludes just that: dynamic position changes during colonoscope withdrawal significantly improved polyp and adenoma detection.

"Time of day variation in polyp detection rate for colonoscopies performed on a 3-hour shift schedule"

Recent research suggests that the colonoscopy polyp detection rate varies by time of day, possibly because of endoscopist fatigue. Mayo Clinic Rochester schedules colonoscopies in three-hour shifts, which should minimize fatigue. Researchers report that, at this institution, a three-hour shift schedule does not show a decrease in the polyp detection rate as the day progresses, as seen in other recent studies. Intervention trials at other institutions could determine whether alterations in shift length lead to polyp detection rate improvements.


'/>"/>

Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

Related medicine news :

1. Use of Virtual Colonoscopy on the Rise in U.S. Hospitals
2. Hospital use of virtual colonoscopy is on the rise, study suggests
3. Many Americans Over 50 Fear Colonoscopy: Survey
4. New colonoscopy skills assessment tool developed for trainees
5. Screening colonoscopy rates are not increased when women are offered a female endoscopist
6. Bowel cancer: 8 years of colonoscopy screening in Germany -- a success story
7. Mammogram Visit a Good Time to Arrange Colonoscopy: Study
8. Virtual colonoscopy option could improve colorectal cancer screening rates, patient survey suggests
9. Virtual colonoscopy and teleradiology bring colorectal cancer screening to patients in rural areas
10. Colonoscopy technique increases polyp detection in far reaches of right colon
11. Study shows splitting bowel preparation dosage is most effective cleansing method before colonoscopy
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian history of ... Brink” is the creation of published author, William Nowers. Captain Nowers and his ... veteran, he spent thirty years in the Navy. Following his career as a ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... meet the demand of today’s consumer and regulatory authorities worldwide. From Children’s to ... and tested to meet the highest standard. , These products are also: ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about the technology: ... develop to enable prevention of a major side effect of chemotherapy in children. ... pediatric patients. For cisplatin, hearing loss is FDA listed on-label as a dose ...
(Date:10/12/2017)... ... October 12, 2017 , ... On Saturday, October 21, the ... – Miles by Moonlight to raise money for the American Heart Association Heart Walk. ... , Teams will work together to keep their treadmills moving for 5 hours. Treadmills ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... -- Commended for their devotion to personalized service, SMP Pharmacy Solutions ... in the South Florida Business Journal,s 50 Fastest-Growing Companies, and ... the national specialty pharmacy has found its niche.  To that ... be honored by SFBJ as the 2017 Power Leader in ... receive his award in October, Bardisa said of the three ...
(Date:9/25/2017)... 2017  EpiVax, Inc., a leader in the ... today announced the launch of EpiVax Oncology Inc., ... therapeutic cancer vaccines. EpiVax has provided $500,000 in ... enabling technologies to the new precision immunotherapy venture. ... Oncology as Chief Executive Officer. Gad brings over ...
(Date:9/22/2017)... , Sept. 22, 2017 AVACEN Medical (AVACEN) ... is now successfully helping those with the widespread pain ... Fibromyalgia diagnosed Amanda in Essex, England ... washing my hair, experiencing no sleep at all, tremendous ... spasm… I cannot recommend [the AVACEN 100] enough, how ...
Breaking Medicine Technology: