Colonoscopy reduces death rate from colorectal cancer; more adenomas discovered with colonoscopy than FIT

Two new studies confirm the value of colonoscopy in detecting advanced colorectal cancer and reducing mortality.

Key Point: Colonoscopy is an effective screening test for detecting adenomas and reducing mortality from colorectal cancer. Fecal immunochemical testing is not an adequate substitute for colonoscopy. You should recommend screening colonoscopies to your patients in keeping with established clinical guidelines.

In the first study, conducted in the United States, mortality was examined in a cohort of patients referred for an initial colonoscopy, with surveillance of up to 23 years. All polyps identified during colonoscopy procedures were removed.

Some 2,602 patients had adenomas removed and were followed for a median of 15.8 years, during which time 12 died from colorectal cancer. This incidence of colorectal cancer mortality was compared to the 25.4 expected colorectal cancer deaths in the general population and matched for age, sex, race, and other factors, based on data from the U.S. Surveillance, Epidemiology, and End Results database.

The mortality rate from colorectal cancer in India was estimated at...

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This entry was posted in Gastroenterology, Oncology, Primary Care and tagged , , , , , , , , . Volume: .

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