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Colorectal Cancer Screening in the Elderly: The Need for Informed Decision Making

Colorectal Cancer Screening in the Elderly: The Need for Informed Decision Making JGIM EDITORIALS Colorectal Cancer Screening in the Elderly: The Need for Informed Decision Making 1 2 Richard M. Hoffman, MD, MPH and Louise C. Walter, MD 1 2 New Mexico VA Health Care System, University of New Mexico, Albuquerque, NM, USA; San Francisco VA Medical Center, University of California, San Francisco, CA, USA. no screening after age 85 and personalized screening decisions J Gen Intern Med 24(12):1336–7 DOI: 10.1007/s11606-009-1121-7 for those ages 76 to 85 . These recommendations are partly © Society of General Internal Medicine 2009 based on the trial data showing that colorectal cancer survival curves did not diverge until 5 years after the start of screening. This interval reflects that it often takes many years between when a cancer could be first detectable by olorectal cancer screening works! We have convincing screening until when it would have grown large enough to C evidence from randomized trials of fecal occult blood cause symptoms or death. The recommendation for “person- tests (FOBT) showing that colorectal cancer screening reduces alized” screening decisions really is a call for informed disease-specific morbidity and mortality . Case-control studies decision making. Older patients, especially those who have 2–4 suggest that endoscopy is also http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General Internal Medicine Springer Journals

Colorectal Cancer Screening in the Elderly: The Need for Informed Decision Making

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References (16)

Publisher
Springer Journals
Copyright
Copyright © 2009 by Society of General Internal Medicine
Subject
Medicine & Public Health; Internal Medicine
ISSN
0884-8734
eISSN
1525-1497
DOI
10.1007/s11606-009-1121-7
pmid
19798537
Publisher site
See Article on Publisher Site

Abstract

JGIM EDITORIALS Colorectal Cancer Screening in the Elderly: The Need for Informed Decision Making 1 2 Richard M. Hoffman, MD, MPH and Louise C. Walter, MD 1 2 New Mexico VA Health Care System, University of New Mexico, Albuquerque, NM, USA; San Francisco VA Medical Center, University of California, San Francisco, CA, USA. no screening after age 85 and personalized screening decisions J Gen Intern Med 24(12):1336–7 DOI: 10.1007/s11606-009-1121-7 for those ages 76 to 85 . These recommendations are partly © Society of General Internal Medicine 2009 based on the trial data showing that colorectal cancer survival curves did not diverge until 5 years after the start of screening. This interval reflects that it often takes many years between when a cancer could be first detectable by olorectal cancer screening works! We have convincing screening until when it would have grown large enough to C evidence from randomized trials of fecal occult blood cause symptoms or death. The recommendation for “person- tests (FOBT) showing that colorectal cancer screening reduces alized” screening decisions really is a call for informed disease-specific morbidity and mortality . Case-control studies decision making. Older patients, especially those who have 2–4 suggest that endoscopy is also

Journal

Journal of General Internal MedicineSpringer Journals

Published: Oct 2, 2009

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