Navigation Links
National Coalition for Quality Colorectal Cancer Screening and Care Conveys Concerns over CT Colonography
Date:10/13/2008

ANNAPOLIS, Md., Oct. 13 /PRNewswire/ -- The National Coalition for Quality Colorectal Cancer Screening and Care is highlighting concerns over the National CT Colonography Study published September 18 in the New England Journal of Medicine. The evidence must be closely evaluated, and patients need to recognize that CT Colonography is not without significant potential risks. The National Coalition reminds patients that Colonoscopy remains the "Gold Standard" for colorectal cancer screening, given its excellent sensitivity in detecting polyps and its potential for removing them at the same sitting.

Screening by CT Colonography (CTC) for patients who would otherwise forego preventive screening clearly improves the likelihood of early detection. However, substituting CTC for a complete colonoscopy creates the potential for a sizeable miss rate in the detection of high risk pre-cancerous lesions.

Steven J. Morris, MD JD FACP FACG, National Coalition Board Chairperson and CEO of Atlanta Gastroenterology Associates, LLC states "This study raises numerous concerns for clinicians and patients. Relying primarily on CT Colonography screening exposes patients to the risk of undetected and unreported pre-cancerous growths, the need for follow-up with colonoscopy, radiation exposure, and the associated risks and unrealistic cost assumptions about predicted savings."

By focusing only on polyps of 6 mm or greater in size, the study authors ignored the significant number of pre-cancerous polyps that are detected during a Colonoscopy which are 5 mm or smaller. Equally troubling is that 17 percent of study patients required subsequent referral for Colonoscopy to remove polyps, and other studies have described a referral rate that approaches 30%. The need for follow-up procedures creates additional inconvenience and costs for patients and payors.

When comparing the efficacy between the two patient groups in the study [i.e., CTC versus traditional optical Colonoscopy (OC)], the researchers themselves note "the number of polypectomies performed ... differed significantly between the two groups, with more than four times as many polyps removed in the OC group as in the CTC group."

Dr. Morris added, "We are deeply troubled by the cost comparisons as developed by the study authors. Reimbursement rates for various procedures are not accurately reflected in the study, and any conclusions based upon those inaccuracies may be equally inaccurate. For example, the total Medicare reimbursement rate for an outpatient colonoscopy does not exceed $1000 which is significantly less than the $3000 sited in the study for colonoscopy reimbursement."

Dr. Stanford Plavin, Coalition Board Vice-Chairperson and Managing Partner of Ambulatory Anesthesia of Atlanta, P.C. noted "CT Colonography offers no real advantage over a Colonoscopy. The bowel still has to be cleansed and prepped for a CT Colonography. The patient will experience considerable discomfort as a mechanical tube is inserted into the rectum to insufflate the bowel. There is no process available to immediately relieve the pressure on the bowel when the CT Colonography is completed. Given the unnecessary exposure to radiation, the failure to report small polyps, and the need for subsequent Colonoscopies, CT Colonography does not measure up against the Colonoscopy, which remains the Gold Standard for colorectal cancer screening."

The National Coalition is committed to making sure that patients make fully informed decisions about what prevention strategies works best when screening for colorectal cancer. Traditional colonoscopies remain the clear choice for most patients both in terms of clinical outcomes and financial costs.

Headquartered in Annapolis, Maryland, the National Coalition for Quality Colorectal Cancer Screening & Care (http://www.preventingcolorectalcancer.org) has been established to preserve the tradition of safe, comfortable and quality- based medicine. The Coalition is a nonprofit advocacy organization with its primary mission to educate both public and private stakeholders about the opportunities to reduce the incidence of colorectal cancer through promoting effective screening, prevention and care options for patients

Study Source: Kim, Pickhardt, Taylor, et.al. "CT Colonography versus

Colonoscopy for the Detection of Advanced Neoplasia," The New England

Journal of Medicine, vol. 357:1403-1412 (no. 14), October 4, 2007.


'/>"/>
SOURCE National Coalition for Quality Colorectal Cancer Screeningand Care
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. International study strengthens case for daily calcium pill
2. Yakima Health Care Leader Tapped for Leadership Post at National Association
3. Virginia Tech Report Has National Importance
4. Donate Life America Dispels Myths About Organ & Tissue Donation Among Hispanics During National Hispanic Heritage Month
5. Us TOO Launches National SEA Blue Campaign for Prostate Cancer Awareness Month
6. Mettler-Toledo International Inc. Announces Webcast of Presentation at Thomas Weisel Partners 2007 Healthcare Conference
7. National Association of Subrogation Professionals (NASP), the Largest Insurance Subrogation Association in the World - Announced Today that Leslie Wiernik has Joined the Organization as Director of Education
8. 4-Star Gen. Barry McCaffrey, Former U.S. Drug Czar, to Address National Drug Crisis, Keynote Grand Opening of New Allenwood, PA National Model Detox Center
9. Australian-led international study shows blood pressure drugs cut death rate in type 2 diabetes
10. LCA Hails International Investigators Studying Lung Cancer
11. National Patient Safety Foundation Partners with Vocera Communications
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June ... with. The article goes on to state that individuals are now more comfortable seeking ... common operations such as calf and cheek reduction. The Los Angeles area medical group, ...
(Date:6/24/2016)... ... 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out of ... verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda ... orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including ... accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... People across the ... Genome magazine’s Code Talker Award, an essay contest in which patients and their families ... to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual Education ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 VolitionRx ... of Dr. Edward Futcher to the ... effective June 23, 2016.Dr. Futcher was also appointed ... Governance Committees.  As a non-executive member of the ... and strategic counsel to VolitionRx in connection with ...
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... June 23, 2016 Research and Markets ... Issue 52" report to their offering. ... treatment creates a favourable commercial environment for MedImmune to enter. ... base that will serve to drive considerable growth for effective ... serve to cap sales considerably, but development is still in ...
Breaking Medicine Technology: