It's Time to Make Organized Colorectal Cancer Screening Convenient and Easy for Patients

被引：7

作者：

Levin, Theodore R. ^{[1
]}

机构：

[1] Kaiser Permanente Med Ctr, Walnut Creek, CA 94596 USA

来源：

AMERICAN JOURNAL OF GASTROENTEROLOGY | 2009年 / 104卷 / 04期

关键词：

OCCULT-BLOOD-TESTS; COLLEGE-OF-RADIOLOGY; SERVICES TASK-FORCE; ADENOMATOUS POLYPS; JOINT GUIDELINE; UNITED-STATES; POPULATION; SOCIETY; SURVEILLANCE; COLONOSCOPY;

D O I：

10.1038/ajg.2009.18

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Colorectal cancer (CRC) screening is widely recommended, but underused. To increase screening rates, we need to implement organized and population-based systems to promote CRC screening among people in a single region, health plan, or health system. This is ideally accomplished using fecal immunochemical tests (FITs), which can be sent through a mass mailing. The study by Levi and colleagues shows that patients using aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), anti-platelet agents, or anti-coagulants do not need to stop these medications while doing the fecal collection. This makes the testing more convenient for patients, and avoids the risk of adverse cardiovascular events caused by stopping these medications.

引用

页码：939 / 941

页数：3

共 21 条

[1] Screening for colorectal neoplasms with new fecal occult blood tests: update on performance characteristics [J].

Allison, James E. ;

Sakoda, Lori C. ;

Levin, Theodore R. ;

Tucker, Jo P. ;

Tekawa, Irene S. ;

Cuff, Thomas ;

Pauly, Mary Pat ;

Shlager, Lyle ;

Palitz, Albert M. ;

Zhao, Wei K. ;

Schwartz, J. Sanford ;

Ransohoff, David F. ;

Selby, Joseph V. .

JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2007, 99 (19) :1462-1470

[2] A comparison of fecal occult-blood tests for colorectal-cancer screening [J].

Allison, JE ;

Tekawa, IS ;

Ransom, LJ ;

Adrain, AL .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (03) :155-159

[3] Colorectal cancer screening: A comparison of 35 initiatives in 17 countries [J].

Benson, Victoria S. ;

Patnick, Julietta ;

Davies, Anna K. ;

Nadel, Marion R. ;

Smith, Robert A. ;

Atkin, Wendy S. .

INTERNATIONAL JOURNAL OF CANCER, 2008, 122 (06) :1357-1367

[4] Stroke risk in anticoagulated patients with atrial fibrillation undergoing endoscopy [J].

Blacker, DJ ;

Wijdicks, EFM ;

McClelland, RL .

NEUROLOGY, 2003, 61 (07) :964-968

[5]

DeNavas-Walt C., 2007, INCOME POVERTY HLTH

[6] Guideline on the management of anticoagulation and antiplatelet therapy for endoscopic procedures [J].

Eisen, GM ;

Baron, TH ;

Dominitz, JA ;

Faigel, DO ;

Goldstein, JL ;

Johanson, JF ;

Mallery, JS ;

Raddawi, HM ;

Vargo, JJ ;

Waring, JP ;

Fanelli, RD ;

Wheeler-Harbough, J .

GASTROINTESTINAL ENDOSCOPY, 2002, 55 (07) :775-779

[7] Sensitivity, but Not Specificity, of a Quantitative Immunochemical Fecal Occult Blood Test for Neoplasia Is Slightly Increased by the Use of Low-Dose Aspirin, NSAIDS, and Anticoagulants [J].

Levi, Zohar ;

Rozen, Paul ;

Hazazi, Rachel ;

Vilkin, Alex ;

Waked, Amal ;

Maoz, Eran ;

Birkenfeld, Shlomo ;

Lieberman, Nicky ;

Klang, Shmuel ;

Niv, Yaron .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2009, 104 (04) :933-938

[8] Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology [J].

Levin, Bernard ;

Lieberman, David A. ;

McFarland, Beth ;

Andrews, Kimberly S. ;

Brooks, Durado ;

Bond, John ;

Dash, Chiranjeev ;

Giardiello, Francis M. ;

Glick, Seth ;

Johnson, David ;

Johnson, C. Daniel ;

Levin, Theodore R. ;

Pickhardt, Perry J. ;

Rex, Douglas K. ;

Smith, Robert A. ;

Thorson, Alan ;

Winawer, Sidney J. .

GASTROENTEROLOGY, 2008, 134 (05) :1570-1595

[9] Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology [J].

Levin, Bernard ;

Lieberman, David A. ;

McFarland, Beth ;

Smith, Robert A. ;

Brooks, Durado ;

Andrews, Kimberly S. ;

Dash, Chiranjeev ;

Giardiello, Francis M. ;

Glick, Seth ;

Levin, Theodore R. ;

Pickhardt, Perry ;

Rex, Douglas K. ;

Thorson, Alan ;

Winawer, Sidney J. .

CA-A CANCER JOURNAL FOR CLINICIANS, 2008, 58 (03) :130-160

[10] A comparison of the immunochemical fecal occult blood test and total colonoscopy in the asymptomatic population [J].

Morikawa, T ;

Kato, J ;

Yamaji, Y ;

Wada, R ;

Mitsushima, T ;

Shiratori, Y .

GASTROENTEROLOGY, 2005, 129 (02) :422-428

← 1 2 3 →