Screening for Colorectal Cancer with Flexible Sigmoidoscopy: Is a 5-Yr Interval Appropriate? A Comparison of the Detection of Neoplasia 3 Yr versus 5 Yr After a Normal Examination

Burke, Carol A.; Elder, Kareem; López, Rocío

doi:10.1111/j.1572-0241.2006.00639.x

Cited by 18 publications

(12 citation statements)

References 21 publications

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“…136 In cases where screening sigmoidoscopy is negative in average-risk patients aged 50 and older, it is not essential to perform follow-up sigmoidoscopy within 5 years. 114,115,137,138 Data are still limited regarding whether the appropriate interval between normal sigmoidoscopy exams should be 5 years or longer, and preexisting guidelines differ. 126,139 Although it seems clear that colorectal cancer prevention effects through sigmoidoscopy persist for at least five years, the extent of this examination is limited, and the quality of the examination may be limited due to such problems as insufficient bowel preparation.…”

Section: ) Sigmoidoscopymentioning

confidence: 99%

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

Lee

Hong

Kim

et al. 2012

J Korean Soc Radiol

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According to the statistical yearbook of the Ministry of Health and Welfare, crude colorectal cancer incidence rates in Korea in 2008 were 54.7 and 36.9 per 100,000 among males and females, respectively. Colorectal cancer is thus the second most common cancer in males and the fourth most common Clin Endosc 2012;45:25-43 Copyright © 2012 The Korean Society of Gastrointestinal Endoscopy 25 cancer in females. 1 The mortality rates (the number of deaths per 100,000 people, %) of colorectal cancer in 2008 were 15.4% among males and 12.1% among females. Colorectal cancer is thus the fourth most common cause of cancer death among Korean males and the second most common cause of cancer death among Korean females. The age-standardized mortality rates of colorectal cancer continue to increase, unlike those of other common cancers, including lung cancer, liver cancer and stomach cancer, whose mortality rates have decreased in recent years. Increases in the incidence of colorectal cancer may be partly due to Westernization of many Koreans' lifestyles. Greater public awareness of colorectal cancer and the addition of colorectal cancer in 2004 to the national cancer screening program are likely also responsible in part for the increased incidence rates. Participation rates in the national colorectal screening program increased from ap Now colorectal cancer is the second most common cancer in males and the fourth most common cancer in females in Korea. Since most of colorectal cancers occur after the prolonged transformation of adenomas into carcinomas, early detection and removal of colorectal adenomas are one of the most effective methods to prevent colorectal cancer. Considering the increasing incidence of colorectal cancer and polyps in Korea, it is very important to establish Korean guideline for colorectal cancer screening and polyp detection. The guideline was developed by the Korean Multi-Society Take Force and we tried to establish the guideline by evidence-based methods. Parts of the statements were draw by systematic reviews and meta-analyses. Herein we discussed epidemiology of colorectal cancers and adenomas in Korea and optimal methods for screening of colorectal cancer and detection of adenomas including fecal occult blood tests, radiologic tests, and endoscopic examinations.

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Section: ) Sigmoidoscopymentioning

confidence: 99%

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

Lee

Hong

Kim

et al. 2012

J Korean Soc Radiol

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“…Sigmoidoscopy for colorectal cancer screening is supported by evidence from case controlled studies [52] , although it is not the preferred method in many countries because 40% of all colorectal neoplasia would be overlooked. A recent report of colonoscopy reducing death from left, but not right-sided colon cancer [53] suggests that sigmoidoscopy [54][55][56] does have a place in screening. Sigmoidoscopy is performed without sedation coverage.…”

Section: Reults Of Literature Reviewmentioning

confidence: 99%

Sedation-risk-free colonoscopy for minimizing the burden of colorectal cancer screening

Leung¹

2010

WJGE

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Unsedated colonoscopy is available worldwide, but is not a routine option in the United States (US). We conducted a literature review supplemented by our experience and expert commentaries to provide data to support the use of unsedated colonoscopy for colorectal cancer screening. Medline data from 1966 to 2009 were searched to identify relevant articles on the subject. Data were summarized and co-authors provided critiques as well as accounts of unsedated colonoscopy for screening and surveillance. Diagnostic colonoscopy was initially developed as an unsedated procedure. Procedure-related discomfort led to wide adoption of sedation in the US, although unsedated colonoscopy remains the usual practice elsewhere. The increased use of colonoscopy for colorectal cancer screening in healthy, asymptomatic individuals suggests a reassessment of the burden of sedation in colonoscopy for screening is appropriate in the US for lowering costs and minimizing complications for patients. A water method developed to minimize discomfort has shown promise to enhance outcomes of unsedated colonoscopy. The use of scheduled, unsedated colonoscopy in the US appears to be feasible for colorectal cancer screening. Studies to assess its applicability in diverse practice settings deserve to be conducted and supported.

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“…By contrast, among adults, the frequency of several recommended cancerprevention services is supported by evidence. [83][84][85] In October 2007, a revised set of Bright Futures Guidelines replaced earlier Bright Futures, AAP, and GAPS guidelines for health supervision of adolescents. The harmonized guidelines emphasized CPS prioritization during visits.…”

Section: S30mentioning

confidence: 99%

Adolescent Immunizations and Other Clinical Preventive Services: A Needle and a Hook?

et al. 2008

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Advances in technology have led to development of new vaccines for adolescents, but these vaccines will be added to a crowded schedule of recommended adolescent clinical preventive services. We reviewed adolescent clinical preventive health care guidelines and patterns of adolescent clinical preventive service delivery and assessed how new adolescent vaccines might affect health care visits and the delivery of other clinical preventive services. Our analysis suggests that new adolescent immunization recommendations are likely to improve adolescent health, both as a "needle" and a "hook." As a needle, the immunization will enhance an adolescent's health by preventing vaccine-preventable diseases during adolescence and adulthood. It also will likely be a hook to bring adolescents (and their parents) into the clinic for adolescent health care visits, during which other clinical preventive services can be provided. We also speculate that new adolescent immunization recommendations might increase the proportion and quality of other clinical preventive services delivered during health care visits. The factor most likely to diminish the positive influence of immunizations on delivery of other clinical preventive services is the additional visit time required for vaccine counseling and administration. Immunizations may "crowd out" delivery of other clinical preventive services during visits or reduce the quality of the clinical preventive service delivery. Complementary strategies to mitigate these effects might include prioritizing clinical preventive services with a strong evidence base for effectiveness, spreading clinical preventive services out over several visits, and withholding selected clinical preventive services during a visit if the prevention activity is effectively covered at the community level. Studies are needed to evaluate the effect of new immunizations on adolescent preventive health care visits, delivery of clinical preventive services, and health outcomes. Pediatricians have a unique opportunity to influence adolescents and their families by helping young people build a strong foundation of good health that will continue into their adult lives.American Academy of Pediatrics (AAP) 1 D ELIVERING PREVENTIVE services to US adolescents* is a public health priority. 2,3 Although most US adolescents are healthy, millions of adolescents initiate behaviors and lifestyles that can adversely affect their immediate and long-term health. 4 Potentially modifiable adolescent behaviors include failure to use seat belts, unsafe operation of motor vehicles, carrying weapons, using alcohol and other drugs, unprotected sex, inactivity, and overeating. These behaviors are directly linked to injuries and death, as well as to sexually transmitted infections (STIs), unintended *The definition of "adolescent" differs across studies and organizations; in this report, an adolescent is a person aged 11 to 18 years, unless otherwise specified.www.pediatrics.org/cgi

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Screening for Colorectal Cancer with Flexible Sigmoidoscopy: Is a 5-Yr Interval Appropriate? A Comparison of the Detection of Neoplasia 3 Yr versus 5 Yr After a Normal Examination

Cited by 18 publications

References 21 publications

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

Korean Guidelines for Colorectal Cancer Screening and Polyp Detection

Sedation-risk-free colonoscopy for minimizing the burden of colorectal cancer screening

Adolescent Immunizations and Other Clinical Preventive Services: A Needle and a Hook?

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