Navigation Links
Pitt researchers raise concern over frequency of surveillance colonoscopy
Date:1/14/2010

PITTSBURGH, Jan. 14 How often patients receive surveillance colonoscopy may need to be better aligned with their risks for colorectal cancer, according to two papers published this month by University of Pittsburgh School of Medicine researchers. The studies provide evidence that colonoscopy is both overused and underused in particular patient populations with serious implications for health care spending.

According to Robert E. Schoen, M.D., M.P.H., professor of medicine and epidemiology at the University of Pittsburgh and senior author of both papers, surveillance colonoscopy is performed to monitor patients who have had precancerous polyps, called adenomas, found on a previous colonoscopy. The aim of surveillance is to identify and remove recurrent growths before they advance to cancer.

"Guidelines recommend that patients who have had pre-cancerous lesions, especially advanced precancerous lesions, get follow-up colonoscopy earlier and more often than patients who do not have polyps," said Dr. Schoen. "Yet our studies show surveillance colonoscopy is not being used by the medical system in relation to underlying risk."

The first study, published in the January edition of the journal Gastroenterology, demonstrates a substantial overuse of surveillance colonoscopy among low-risk patients and under-use among high risk patients. The study followed 3,600 patients from the National Cancer Institute (NCI)-sponsored Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial. Among 1,026 patients with no precancerous lesions at their initial examination, 58 percent underwent a follow-up exam an average of every 3.9 years, although the recommendation would be to do so every five or 10 years. Detailed review of the records could not identify medical reasons for the premature testing. After five years, only 58.4 percent of patients with advanced precancerous lesions received surveillance colonoscopy despite the recommendati
'/>"/>

Contact: Courtney McCrimmon
McCrimmonCP@upmc.edu
412-586-9773
University of Pittsburgh Schools of the Health Sciences
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Stress triggers tumor formation, Yale researchers find
2. Johns Hopkins researchers say vaccine appears to mop up leukemia cells Gleevec leaves behind
3. St. Johns wort not helpful treatment for irritable bowel syndrome, Mayo Clinic researchers say
4. Young hunters most likely to be injured using tree stands, say UAB researchers
5. Researchers find clues to why some continue to eat when full
6. Researchers find new patterns in H1N1 deaths
7. Researchers discover gene therapy to prevent progression of emphysema
8. Researchers at the John Theurer Cancer Center Present Cutting-Edge Research Results at this Years American Society of Hematology Annual Meeting
9. Vision researchers Jay and Maureen Neitz to receive first Pepose Award from Brandeis
10. Umbilical cord could be new source of plentiful stem cells, say Pitt researchers
11. Researchers discover novel method for detecting MIRCERA
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/21/2015)... 21, 2015 Henry Mayo Newhall Hospital, ... Care Exchange to automatically send continuation of care ... to further improve communication with clinics and other ambulatory ... Alert solution. , “Provider Alert will enable ... patient information they need to provide continuing care in ...
(Date:4/21/2015)... Among parents of children with autism spectrum disorder, ... or poor, according to a study in the journal ... to the dentist can present many challenges for a ... smells, loud noises, and sharp tools; the unfamiliarity of ... whole process—not knowing what will happen and when it ...
(Date:4/21/2015)... (PRWEB) April 21, 2015 Top medical ... in India for their ongoing commitment to providing superior ... strives to provide patients with the best possible experience ... skin, hair and body. , Executives at Ojas Aesthetic ... the philosophy of — nothing about you, without you ...
(Date:4/21/2015)... TX (PRWEB) April 21, 2015 The ... announced today it is opening its first freestanding emergency ... in Chandler, Arizona and will be licensed under Dignity ... the Dignity Health and Adeptus Health joint venture. , ... Regional and Mercy Gilbert Medical Centers said the new ...
(Date:4/21/2015)... Calif. (PRWEB) April 21, 2015 Information is ... , Kevin Ryan, MD, FACP, empowers patients and their families ... Tumor is the Rumor and Cancer is the Answer" and ... authoritative and informative language to guide patients from diagnosis through ... make patients active participants in their treatment, at home and ...
Breaking Medicine News(10 mins):Health News:Henry Mayo Newhall Hospital to Improve Ambulatory Information Sharing with Summit Healthcare's Summit Provider Alert 2Health News:Autism Awareness Month: Dental Care Tips for Children With Autism Spectrum Disorder 2Health News:Autism Awareness Month: Dental Care Tips for Children With Autism Spectrum Disorder 3Health News:Autism Awareness Month: Dental Care Tips for Children With Autism Spectrum Disorder 4Health News:Autism Awareness Month: Dental Care Tips for Children With Autism Spectrum Disorder 5Health News:Autism Awareness Month: Dental Care Tips for Children With Autism Spectrum Disorder 6Health News:VisitandCare.com Cosmetic Surgery Provider in India Earns Recognition for Patient Satisfaction 2Health News:VisitandCare.com Cosmetic Surgery Provider in India Earns Recognition for Patient Satisfaction 3Health News:Dignity Health and Adeptus Health to Open First Freestanding Emergency Room in Chandler, Arizona 2Health News:Dignity Health and Adeptus Health to Open First Freestanding Emergency Room in Chandler, Arizona 3Health News:Authoritative guide and new accompanying therapeutic web portal bridge information gaps in cancer treatment 2
... of Families with Deployed Service Members ... ... $15,000 to the Missouri National Guard -,Missouri Military Family Relief Fund, which will ... Don Brown, market vice president for the central market area at,TriWest, will ...
... Sutter Regional Medical,Foundation,s newly completed third building on ... to a full-range of,state-of-the-art health care services in ... center, located at 2720 Low,Court, replaces the 1234 ... for growth. Designed with comfort and healing in ...
... healthy foods early and often works, research suggests , , MONDAY, ... to love fruits and veggies later in life, offer plenty ... to solid foods, new research suggests. , And mom, eat ... so you,ll help to pass on the preference for these ...
... Ohio, Dec. 3 Seniors who take a close ... Advantage plans may reap,handsome savings next year. Many Medicare ... premiums and $0 deductibles with either complete or,partial coverage ... of their drug bills until reaching $4,050 in out-of-pocket ...
... watery eyes,are often attributed to the common cold, but ... American Academy of Allergy, Asthma &,Immunology (AAAAI)., "Millions ... during the,winter months when they,re actually experiencing allergies," said ... and,allergy symptoms can be very similar, making it hard ...
... services for, at-risk and low-income students to prevent critical health ... ... 3 Approximately 117,000 of Oregon,s,children are uninsured, leaving them ... illness and help them stay in,school. At-risk and low-income children ...
Cached Medicine News:Health News:TriWest Contributes $15,000 to Missouri National Guard Fund 2Health News:Sutter Regional Medical Foundation Opens New Fairfield Care Center 2Health News:Want to Raise a Fruit-and-Veggie Lover? Be Persistent 2Health News:Want to Raise a Fruit-and-Veggie Lover? Be Persistent 3Health News:Want to Raise a Fruit-and-Veggie Lover? Be Persistent 4Health News:HealthMetrix Research Finds Medicare Advantage Plans Offer Seniors Opportunity to Lower Their 2008 Out-of-Pocket Drug Costs 2Health News:HealthMetrix Research Finds Medicare Advantage Plans Offer Seniors Opportunity to Lower Their 2008 Out-of-Pocket Drug Costs 3Health News:Your Stuffy Nose Could Mean More Than a Cold 2Health News:Regence Partners with Multnomah Education Service District to Bring Free Health Services to more than 20,000 Students in Need 2Health News:Regence Partners with Multnomah Education Service District to Bring Free Health Services to more than 20,000 Students in Need 3
(Date:4/21/2015)... Oxfordshire ... than doubled its overseas sales in just 4 years. ... the Queen,s Award for Enterprise, for Outstanding Achievement in ... HealthScience Communications consultancy, helping its clients bring new medicines ... more than doubled its exports in just 4 years, ...
(Date:4/21/2015)... Cardiologists at Henry Ford Hospital have implanted a ... an irregular heartbeat. With only handful of hospitals ... is able to add another option to its arsenal of ... heart,s ability to pump. "This is a ... Watchman implant at a non-clinical trial site," says cardiologist ...
(Date:4/21/2015)... BILLINGS, Mont. , April 21, 2015 /PRNewswire/ ... it comes to patient care. Already following strict ... germ-killing robot Tru-D SmartUVC to eliminate harmful germs, ... Enterobacteriaceae (CRE), influenza and norovirus that can infect patients ... Logo - ...
Breaking Medicine Technology:Queen's Award Crowns Achievements of Local Consultancy 2Queen's Award Crowns Achievements of Local Consultancy 3Queen's Award Crowns Achievements of Local Consultancy 4Queen's Award Crowns Achievements of Local Consultancy 5Stroke Risk Caused by Abnormal Heart Rhythm Reduced Without Blood Thinners 2Stroke Risk Caused by Abnormal Heart Rhythm Reduced Without Blood Thinners 3St. Vincent Healthcare Deploys Germ-Killing Robot to Prevent Infection, Protect Patients During Hospital Visits 2St. Vincent Healthcare Deploys Germ-Killing Robot to Prevent Infection, Protect Patients During Hospital Visits 3
... ARUP Laboratories is a national reference ... laboratory research and development. ARUP offers an ... unique medical tests in clinical and anatomic ... ARUP Laboratories' clients include more than half ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
... a national reference laboratory and a worldwide ... ARUP offers an extensive test menu of ... clinical and anatomic pathology. Owned by the ... more than half of the nation's university ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
Medicine Products: