Navigation Links
Virtual Colonoscopy a Good Bet for Elderly
Date:1/28/2010

Screening appears to be safe, effective for older people, study finds

THURSDAY, Jan. 28 (HealthDay News) -- Virtual colonoscopy is a safe and effective way to screen older patients for colorectal cancer, a new study indicates.

Researchers looked at the use of computed tomographic colonography (CTC) in 577 patients aged 65 to 79 and found it an effective way to screen for colorectal cancer in elderly patients. It produces low referral-for-colonoscopy rates that are similar to other screening tests covered by Medicare, and doesn't result in unreasonable levels of additional testing because of extracolonic findings, they noted.

"There have been questions raised that factors such as the [colonoscopy] referral rate and extracolonic work-up rates would be too high in an older population for CTC to be a cost-effective, frontline colorectal cancer screening exam. Our results suggest otherwise and that these rates remain in a reasonable range," principal investigator Dr. David H. Kim, an associate professor of radiology at the University of Wisconsin School of Medicine and Public Health, said in a news release.

Among the findings:

  • Advanced neoplasia (abnormal growth) was detected in 7.6 percent (44 of 577) of patients. There was no statistically significant difference between the older patients and the general screening population in terms of the characteristics of advanced neoplasia. This indicates the accuracy is similar to that shown in studies involving younger patients.
  • The overall referral rate to optical colonoscopy was 15.3 percent (88 of 577), which is slightly lower than other Medicare-covered colorectal cancer screening exams such as flexible sigmoidoscopy.
  • Potentially significant extracolonic findings were seen in 15.4 percent (89 of 577) of patients, with a work-up rate of 7.8 percent (45) of patients. Most of the extracolonic diagnoses were vascular aneurysms.
  • No major complications, such as colon perforations, occurred.

"The lack of complications, particularly no perforations, attests to the safety of this procedure even in the older population. Given what we know of the increasing risk for complications for optical colonoscopy in older patients, perhaps we should consider CT colonography more strongly in this particular group," said Kim.

The study is published in the February issue of Radiology.

More information

The U.S. National Cancer Institute has more about colorectal cancer screening.



-- Robert Preidt



SOURCE: American College of Radiology/American Roentgen Ray Society, news release, Jan. 26, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. First Global, Virtual Summit on Cognitive Health and Performance Features 200 Sharp Brains
2. Long Island Plastic Surgical Practice - the Largest in the U.S. - Opens Virtual Doors on a New, State-of-the-Art Website
3. Sudden Cardiac Arrest Foundation Launches First Virtual Affiliate
4. Left/Right Healthcare Virtual Vigil Tonight at 9 PM Until Senate Votes; Broad Coalition Says Punishes Some States, Windfall for Insurance Companies
5. Half-Million Doctors Beg Senate to Kill the Bill - Virtual News Conference by Coalition of More Than 40 Medical Groups Sunday, 2 pm EST; Sweetheart Deals Punish Patients in Other States
6. Ifbyphones Virtual Call Center Software Saves DiabetesAmerica Over $240,000 Per Year
7. Internet fuels virtual subculture for sex trade, study finds
8. Increased success a virtual certainty for rugby players
9. Parallels Server Bare Metal Launches, Building on Parallels' Containers Leadership to Enable Cloud Services Providers to Extend Virtualized Services
10. AbilityLinks.org to Host Virtual Job Fair
11. Crohn's & Colitis Foundation Encourages More Virtual Event Participants: Thousands Already Helped Foundation Raise Funds for Research & Support Legislation
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at ... for the 49th Congress of the International Society of Paediatric Oncology (SIOP) ... Center for Cancer and Blood Disorders at Children’s National, and Stephen P. ...
(Date:10/12/2017)... ... October 12, 2017 , ... Women-owned and ... 2017 Best and Brightest in Wellness® by Best and Brightest. OnSite Wellness will ... Friday, Oct. 20 from 7:30 a.m. to 2 p.m. at the Henry Autograph ...
(Date:10/12/2017)... ... October 12, 2017 , ... In the United States, single-family ... some states—like New York, New Jersey, Massachusetts, Texas, Virginia, Connecticut, and California—the average ... extremely low property-tax rates, which contributes to the relatively lower cost of living ...
(Date:10/12/2017)... D.C. (PRWEB) , ... October 12, 2017 , ... ... Cal Dining at the University of California Berkeley, and other leading institutions in ... the buying power of institutions to change the way animals are raised for ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... expanded its executive staff with the addition of industry sales leader, Thomas (Tom) ... will develop the national distribution and sales network, direct the efforts of the ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... -- Caris Life Sciences ® , a leading innovator in ... medicine, today announced that St. Jude Medical Center,s Crosson ... as its 17 th member. Through participation with ... Institute will help develop standards of care and best ... cancer treatment more precise and effective. ...
(Date:10/7/2017)... IRVING, Texas , Oct. 6, 2017   ... industry with more than $100 billion in purchasing power, ... industry news and information. The Newsroom is ... chain and industry trends, infographics, expert bios, news releases, ... Besides having access to a wealth of resources at ...
(Date:10/2/2017)... -- Diplomat Pharmacy, Inc. (NYSE: DPLO ) ... , and named its founder as Diplomat,s chief information ... Tennessee , will operate under Diplomat subsidiary Envoy ... for health care partners to include IT outsourcing, consulting, ... "In an interoperable world, technology delivers comprehensive insight and ...
Breaking Medicine Technology: