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Investigators examine colorectal cancer screening methods among diverse populations
Date:5/4/2010

plan to study the data further to determine why certain ethnic groups adhered more to certain procedures than others.

Dr. Inadomi will present these data on Wednesday, May 5 at 11:45 a.m. CT in 280-282, Ernest N. Morial Convention Center.

Colonoscopy for Colorectal Cancer Screening in Asymptomatic Elderly African Americans, Hispanics and Asian Americans (Abstract #W1465)

New research from Brooklyn Hospital Center highlights the need for revised and refined colorectal cancer (CRC) screening guidelines in adults aged 75 and older, especially for African American patients, since investigators found high adenoma detection rates in asymptomatic elderly African American and Hispanic CRC screenings. Current CRC screening guidelines recommend against routine screenings for adults 75 years of age and older.

Shashideep Singhal, MD, internal medicine resident at the Brooklyn Hospital Center, and colleagues examined colonoscopy screening results of 510 elderly African American, Hispanic American or Asian American patients with complete colonoscopy records. In these populations, patients with a prior history of advanced adenomas or CRC were more likely to have adenomas detected during screening compared to those with no prior history (28 percent versus 16.1 percent).

Adenoma and CRC detection rates were most significant in African American patients: 20.1 percent adenoma detection rates, 2.3 percent CRC detection. Additionally, African American patients had a higher proportion of advanced adenomas detected on the right side of the colon, ideal for detection and removal via colonoscopy.

"Physicians treating elderly patients need to be aware of the significant risk of asymptomatic advanced adenomas for this population when considering screening recommendations, especially for African American patients," said Sury Anand, MD, chief of gastroenterology and GI fellowship program director at The Brooklyn Hospital Center. "Cu
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Contact: Amy Levey
alevey@gymr.com
202-745-5116
Digestive Disease Week
Source:Eurekalert

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