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Letters Further prospective studies from a variety of practice set- eters only when absolutely necessary and for as short a period tings that include comprehensive longitudinal follow-up are as required. In all, I agree with the authors that further re- needed to clarify the age-related risk of CRC among elderly pa- search is needed in this area. tients after surveillance colonoscopy. However, an equally im- portant task is to better characterize the spectrum of age- Kleper N. F. de Almeida, MD related risks as well as impact of surveillance on overall survival Author Affiliation: Comprehensive Infectious Diseases, Wellington, Florida. in the elderly population. Corresponding Author: Kleper N. F. de Almeida, MD, Comprehensive We are grateful to Pinsky and Schoen for contributing their Infectious Diseases, 10115 Forest Hill Blvd, Ste102, Wellington, FL 33414 findingstothediscussion.Wehopethatadditionalworkwillcon- (dr.dealmeida@Yahoo.com). tinue to provide much needed insight into this issue so that pa- Conflict of Interest Disclosures: None reported. tients as well as clinicians can make more informed decisions re- 1. Patel P, Aung H, Post J. Does my patient still need this central venous garding the risks and benefits of ongoing surveillance. catheter? a teachable moment. JAMA Intern Med. 2014;174(11):1725-1726. 2. Marik PE, Flemmer M,
JAMA Internal Medicine – American Medical Association
Published: May 1, 2015
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