Fecal occult blood testing for colorectal cancer: a perspective

被引:7
作者
Barry, MJ [1 ]
机构
[1] Massachusetts Gen Hosp, Med Practice Evaluat Ctr, Boston, MA 02114 USA
关键词
colorectal cancer; colorectal neoplasia; fecal occult blood testing; guaiac; mass screening;
D O I
10.1093/annonc/mdf075
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Colorectal cancer is an important health problem in western countries. Early detection of colorectal cancer reduces mortality, The best evidence for the effectiveness of screening for colorectal cancer is with annual or biennial fecal occult blood testing. While the benefit of fecal occult blood testing is small in absolute terms, the incremental cost-effectiveness of this screening strategy appears acceptable. Combining fecal occult blood testing with periodic flexible sigmoidoscopy or replacing it altogether with infrequent colonoscopy are theoretically attractive screening strategies, but the incremental costs and effectiveness of these more intensive screening strategies have not been well defined. Whether and how to implement population-based screening for colorectal cancer depends largely on available resources.
引用
收藏
页码:61 / 64
页数:4
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