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Recent News and Articles on the Keywords: cancer screenings + colon cancer + cancer  Related to the article below (Last Update: 5/13/2008)

Churches, civic groups rewarded for fighting prostate cancer
Greenville News, SC -
In addition to prostate cancer screenings, Palmetto Health's Office of Community Services provides free screenings for cervical, colon and breast cancers, ...
Bus event raises cancer awareness
Leader Times, PA -
... the light," Cowan said, stressing the need for preventative measures so that the uninsured might have access to mammograms and colon cancer screenings. ...
Bill would mandate colon cancer screenings
Bedford Times Register, OH - May 8, 2008
By the time I was diagnosed, I had stage 3 cancer." Regular colorectal cancer screenings may have turned up the condition sooner. ...

Othello Outlook
Cancer Center ready to partner with Othello
Othello Outlook, WA - May 9, 2008
The center performs screenings for breast cancer, prostate, skin cancer, and colon cancer. Free screening programs for skin, breast, prostate, colon, ...
Holmes County Task Force Advocating Early Colon Cancer Detection
RedOrbit, TX - May 8, 2008
"When people have the complications from colon cancer ... a lot of the time, it's too late," Dornan said. Nationally, timely screenings have the potential ...
Women's Health Fair Set Saturday
The Ledger, FL - May 11, 2008
A take-home colon cancer detection kit can be reserved as well. A variety of free screenings will be available without appointments, such as blood pressure, ...
The Mixed Blessing Of Genetic Testing
CBS News, NY - May 6, 2008
Her father had colon cancer, and her grandmother died from it -- at just 45. So Gretchen got screened at 38 - and it's a good thing she did. ...
Patient 'navigator' boosts colon cancer screening
Reuters UK, UK - Apr 22, 2008
NEW YORK (Reuters Health) - Minorities in the US have particularly low rates of colon cancer screening, but guidance from a patient "navigator" might help ...
Community Matters
Southtown Star, IL - 13 minutes ago
Free health screenings for blood pressure, body mass index, osteoporosis, diabetes, cholesterol, strength, spine and colon cancer will be available ...
Enterix Inc. Launches Its Point-of-Care Test for Colorectal Cancer ...
PR Newswire (press release), NY - May 8, 2008
Although colorectal cancer is the second leading cause of cancer in the US(1), screening rates for the disease are low compared to screenings for cervical ...DGX
Source: Google News

Colorectal cancer screening: Clinical guidelines and rationale -
SJ Winawer, RH Fletcher, L Miller, F Godlee, MH … - Gastroenterology, 1997 - Elsevier
Page 1. GASTROENTEROLOGY 1997;112:594?642 Colorectal Cancer Screening: Clinical
Guidelines and Rationale ... Page 2. COLORECTAL CANCER SCREENING 595 February 1997 ...

Prevention of Colorectal Cancer by Colonoscopic Polypectomy -
SJ Winawer, AG Zauber, MN Ho, MJ O'Brien, LS … - New England Journal of Medicine, 1993 - content.nejm.org
... Perceived Barriers and Benefits to Colon Cancer Screening among African Americans
in North Carolina: How Does Perception Relate to Screening Behavior?. ...

The Effect of Fecal Occult-Blood Screening on the Incidence of Colorectal Cancer. -
JS Mandel, TR Church, JH Bond, F Ederer, MS … - Obstetrical & Gynecological Survey, 2001 - obgynsurvey.com
... The Stool DNA Test: An Emerging Technology in Colorectal Cancer Screening. ...
Colorectal Cancer Screening in America: An Industry Perspective. ...

Reducing Mortality from Colorectal Cancer by Screening for Fecal Occult Blood -
JS Mandel, JH Bond, TR Church, DC Snover, GM … - New England Journal of Medicine, 1993 - content.nejm.org
... Population-based fecal occult blood screening for colon cancer: Will the benefits
outweigh the harm?. ... Screening for Colon Cancer -- Can We Afford Colonoscopy?. ...

[PDF] Randomised controlled trial of faecal-occult-blood screening for colorectal cancer -
JD Hardcastle, JO Chamberlain, MH Robinson, SM Moss … - Lancet, 1996 - ccnmtl.columbia.edu
... Summary Background There is growing evidence that faecal-occult- blood (FOB) screening
may reduce colorectal cancer (CRC) mortality, but this reduction in CRC ...
-

Randomised study of screening for colorectal cancer with faecal-occult-blood test -
O Kronborg, C Fenger, J Olsen, OD Jorgensen, O … - Lancet, 1996 - Mass Med Soc
... Citation(s): Kronborg O et al. Randomised study of screening for colorectal cancer
with faecal-occult-blood test. Lancet 1996 Nov 30 348 1467-1471. ...

Screening Sigmoidoscopy and Colorectal Cancer Mortality -
PA Newcomb, RG Norfleet, BE Storer, TS Surawicz, … - jnci, 1992 - jnci.oxfordjournals.org
... Cooperative Study Group 380 One-Time Screening for Colorectal Cancer with Combined
Fecal Occult-Blood Testing and Examination of the Distal Colon N. Engl. ...

Incidence of Hereditary Nonpolyposis Colorectal Cancer and the Feasibility of Molecular Screening … -
LA Aaltonen, R Salovaara, P Kristo, F Canzian, A … - New England Journal of Medicine, 1998 - content.nejm.org
... 2004). Colon Cancer Screening Practices Following Genetic Testing for
Hereditary Nonpolyposis Colon Cancer (HNPCC) Mutations. Arch ...

… mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer
JS Mandel, JH Bond, TR Church, DC Snover, GM … - N Engl J Med, 1993 - ncbi.nlm.nih.gov
... Reducing mortality from colorectal cancer by screening for fecal occult blood.
Minnesota Colon Cancer Control Study. Mandel JS, Bond ...

… with an inherited predisposition to cancer. I. Hereditary nonpolyposis colon cancer. Cancer -
W Burke, G Petersen, P Lynch, J Botkin, M Daly, J … - JAMA, 1997 - Am Med Assoc
... ABSTRACT | FULL TEXT. Colon Cancer Screening Practices Following Genetic Testing
for Hereditary Nonpolyposis Colon Cancer (HNPCC) Mutations Halbert et al. ...

Source: Google Scholar

Colon cancer screenings may not pay off and could pose harm to some

Even though current guidelines advocate colorectal cancer screenings for those with severe illnesses, they may bring little benefit and may actually pose harm, according to a recent study by Yale School of Medicine researchers published in the Archives of Internal Medicine.

The study offers a new approach for assessing who is likely to benefit from a screening so that screening recommendations can be tailored more effectively to individual patients.

First author R. Scott Braithwaite, M.D., and his colleagues developed a new method of evaluating medical screening tests like colonoscopy, called the “payoff time,” which is the minimum amount of time it takes for the benefits from a test to exceed its harms (i.e., its complications and side effects). The method can also be applied to patients of any age and illness.

To estimate the payoff time for using colonoscopy to screen for colorectal cancer, the team focused on two patient groups that included 50-year-old men with HIV, and 60-year-old women with congestive heart failure.

Braithwaite said the payoff time for colorectal cancer screening was as long as five years for 50-year-old men and as long as 2.9 years for 60-year-old women. Because patients with severe congestive heart failure have a life expectancy of less than 2.9 years, they were more likely to be harmed than benefited by colorectal cancer screening, say the researchers, whereas patients with HIV have a life expectancy of greater than five years, so they were likely to benefit from colorectal cancer screening.

“This issue is only becoming increasingly important as pay-for-performance and physician ‘report cards’ encourage clinicians to offer screening to everyone, regardless of individual benefit,” said Braithwaite, assistant professor of medicine at Yale School of Medicine and at the VA Connecticut Healthcare System. “This may have the unintended consequence of harming patients with severe illnesses.”

Braithwaite added that the “cocktail” of therapies that have revolutionized HIV care have increased life expectancy so much that screening guidelines now apply to patients with HIV.

###

Other authors on the study included John Concato, M.D., Chung Chou Chang, Mark S. Roberts, M.D. and Amy C. Justice, M.D.

The study was supported by a grant from the National Institute of Alcohol Abuse and Alcoholism, National Institutes of Health.

Citation: Archives of Internal Medicine Vol. 167, No. 21 (November 26, 2007)

 
 
 
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