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Physicians who play Mozart while performing colonoscopy may improve adenoma detection rate
Date:10/31/2011

rt and 40.5 percent without the music. Baseline detection rates were 21.25 percent (Endoscopist #1) and 27.16 percent (Endoscopist #2).

Adenomas are a type of colon polyp that is considered a precursor for invasive colorectal cancer (CRC), which is the third most common cancer diagnosed in men and women in the United States and the second leading cause of cancer death when both sexes are combined. According to the American Cancer Society, 102,900 new cases of colon cancer (49,470 in men and 53,430 in women) were diagnosed in the United States in 2010.

"Adenoma detection rate is linked to a reduction in colorectal cancer incidence so it is an important quality indicator for colonoscopy," said Dr. O'Shea. "Anything we can do get those rates up has the potential to save lives. While this is a small study, the results highlight how thinking outside the box -- in this case using Mozart -- to improve adenoma detection rates can potentially prove valuable to physicians and patients."

A study published last May in The New England Journal of Medicine found that adenoma detection rate is an independent predictor of the risk of interval colorectal cancer after screening colonoscopy -- data from the study showed that when endoscopists frequently find polyps during their exams, there are fewer interval cancers diagnosed between tests. When that rate falls below 20 percent, the risk of colorectal cancer being diagnosed within the next five years goes up significantly. When the rate was below 11 percent, the risk of an interval cancer was more than 10 times higher than when adenomas were found more than 20 percent of the time.

When detected early, polyps can be removed during a colonoscopy exam, preventing the development of colorectal cancer. This ability to prevent colorectal cancer through polyp removal is the cornerstone of the American College of Gastroenterology's 2009 screening guideline which recommends colonoscopy as a "preferred" color
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Contact: Jacqueline Gaulin
mediaonly@acg.gi.org
301-263-9000
American College of Gastroenterology
Source:Eurekalert

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