Is there endoscopic capacity to provide colorectal cancer screening to the unscreened population in the United States?

Seeff, Laura C.; Manninen, Diane L.; Dong, Fred B.; Chattopadhyay, Sajal K.; Nadel, Marion R.; Tangka, Florence; Molinari, Noelle-Angelique

doi:10.1053/j.gastro.2004.09.052

Cited by 235 publications

(149 citation statements)

References 16 publications

Supporting

Mentioning

145

Contrasting

Unclassified

Order By: Relevance

“…While health systems may implicitly contribute to poor follow-up via the absence of systems to identify abnormal results requiring follow-up, 32 our health system utilizes a system of quarterly feedback reports to physicians identifying patients in need of additional evaluation, lessening the impact of this issue. There have been concerns in the past regarding the capacity of the system to support the demand for colonoscopy, 33 potentially leading to delays in appropriate evaluations. However, our data indicate a very high rate of completing colonoscopy once a procedure was ordered, and most colonoscopies were completed within six months.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Management of Positive Fecal Occult Blood Tests

2009

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Challenges in the Management of Positive Fecal Occult Blood Tests

2009

View full text Add to dashboard Cite

“…Colonoscopy allows the detection and removal of precursor polyps during the same session and is the final common pathway for other screening modalities; these characteristics have contributed to its position as the dominant CRC screening modality in the US. However, colonoscopy requires considerable human and financial resources 3,4 , and the need to balance these constraints with effectiveness has increased interest in strategies where colonoscopy is used selectively after initial testing with one of the other modalities. Sigmoidoscopy is an attractive option because it is more straightforward to perform, is less burdensome, and is associated with lower risk for harm than colonoscopy.…”

mentioning

confidence: 99%

Findings in the Distal Colorectum Are Not Associated With Proximal Advanced Serrated Lesions

Kahi¹,

Vemulapalli²,

Snover³

et al. 2015

Clinical Gastroenterology and Hepatology

View full text Add to dashboard Cite

“…Si asumimos que el cribado de CCR ha de formar parte de los programas de prevención incluidos en nuestro sistema sanitario (18,33), deberán analizarse las cuestiones relacionadas con la colonoscopia, como son el coste, riesgos, adherencia de la población y capacidad de nuestro Sistema de Salud Público para asumir las originadas del cribado. A pesar de las cuestiones pendientes, un estudio llevado a cabo por el US Center for Disease Control and Prevention concluyó que el sistema sanitario en Estados Unidos sólo tiene capacidad suficiente para realizar cribado a toda su población a partir de 50 años mediante la determinación de SOH seguida de colonoscopia para los test positivos (34). Aunque la colonoscopia puede ser una…”

Section: Discussionunclassified

Hallazgos colonoscópicos del estudio piloto de cribado de cáncer colorrectal realizado en Cataluña

Navarro

Peris

Binefa

et al. 2008

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

RESUMEN Objetivo: evaluar las lesiones detectadas en las dos rondas ya finalizadas del Programa Piloto de Cribado en Cáncer Colorrectal (CCR) llevado a cabo en L'Hospitalet de Llobregat (Barcelona).Material y métodos: el programa de cribado de CCR se inició en el año 2000. La población, comprendida entre 50 y 69 años residentes en el área, fue invitada a participar a través de la determinación bienal de sangre oculta en heces mediante el test guaiaco y colonoscopia en los participantes con test positivo. Se realizó polipectomía de las lesiones detectadas o biopsias cuando no era posible la extirpación. Los pólipos se clasificaron según criterios de la Organización Mundial de la Salud.Resultados: se realizaron 442 colonoscopias de los 495 test positivos. En 213 individuos, se detectaron: 36 cánceres invasivos, 121 adenomas de alto riesgo, 29 adenomas de bajo riesgo y 27 pólipos hiperplásicos. En el 25,8% de los casos, el tamaño de los adenomas fue < 10 mm. La mayoría de las lesiones diagnosticadas (37,2%) estaban localizadas en el colon distal, el 5,7% a nivel proximal y ambas localizaciones en el 5,2%. Las neoplasias avanzadas se asociaron significativamente al sexo masculino y la localización distal. La prevalencia de neoplasias avanzadas a nivel proximal entre los pacientes sin pólipos distales fue del 5,1%.Conclusiones: los adenomas de alto riesgo de localización distal han sido las lesiones detectadas con mayor frecuencia. El cribado poblacional mediante la determinación de sangre oculta en heces es un método factible para detectar pequeñas lesiones precancerosas, factor clave para disminuir la incidencia de CCR.Palabras clave: Cáncer colorrectal. Programa de cribado. Riesgo poblacional. Test de sangre oculta en heces. Test guaiaco. Neoplasia avanzada. ABSTRACTObjective: to evaluate lesions detected in two screening rounds performed in a pilot screening program for colorectal cancer in Catalonia, Spain.Material and methods: a colorectal cancer screening program was initiated in 2000. The target population included men and women aged 50-69 years. Screening consisted of biennial guaiac-based fecal occult blood testing (FOBT), and colonoscopy for participants with a positive FOBT. Any polyps found were removed, and biopsies were performed for any masses.Results: Colonoscopies were performed in 442 of 495 people with positive FOBT. In 213 (48.2%), 36 invasive cancers, 121 high-risk adenomas, 29 low-risk adenomas, and 27 hyperplastic polyps were diagnosed. Lesion size was smaller than 10 mm in 25.8% of cases. Most detected lesions (37.2%) were located in the distal colon, followed by the proximal colon (5.7%) and both locations (5.2%). Advanced neoplasm was significantly associated with male gender and distal location. The prevalence of advanced proximal neoplasms among patients with no distal polyps was 5.1%.Conclusions: the most common lesions detected by colonoscopy were high-risk adenomas located in the distal colon. FOBT is a suitable method for detecting small precancer lesions during population screening, ...

show abstract

Is there endoscopic capacity to provide colorectal cancer screening to the unscreened population in the United States?

Cited by 235 publications

References 16 publications

Challenges in the Management of Positive Fecal Occult Blood Tests

Challenges in the Management of Positive Fecal Occult Blood Tests

Findings in the Distal Colorectum Are Not Associated With Proximal Advanced Serrated Lesions

Hallazgos colonoscópicos del estudio piloto de cribado de cáncer colorrectal realizado en Cataluña

Contact Info

Product

Resources

About