Search results for "Colonoscopy"
Financial incentives associated with increased FIT uptake but not increased CRC screening overall
A three-arm trial of incentives for fecal immunochemical testing (FIT) and colorectal cancer screening (CRC) tested mail-only, mail and monetary, and mail and lottery interventions.
https://gastroenterology.acponline.org/archives/2019/07/26/7.htm
26 Jul 2019
Aspirin before fecal immunochemical testing did not increase sensitivity for detecting advanced colorectal neoplasms
The results of the randomized trial do not support routinely recommending aspirin before fecal immunochemical testing for colorectal cancer screening, according to an ACP Journal Club commentary.
https://gastroenterology.acponline.org/archives/2019/08/23/9.htm
23 Aug 2019
Model supports high-intensity surveillance after detection of colorectal adenomas
The target population was U.S. patients ages 50, 60, or 70 years with low-risk or high-risk adenomas removed after screening via colonoscopy or fecal immunochemical testing.
https://gastroenterology.acponline.org/archives/2019/09/27/10.htm
27 Sep 2019
New meta-analysis quantifies risks of colonoscopy
The risk of perforation during colonoscopy is 5.8 per 10,000, while bleeding occurs in 2.4 per 1,000 colonoscopies, according to a committee report from the American Society for Gastrointestinal Endoscopy.
https://gastroenterology.acponline.org/archives/2019/10/25/3.htm
25 Oct 2019
New guideline encourages less colorectal cancer screening for low-risk patients
The guideline, developed by the BMJ Rapid Recommendations project, suggested no screening for individuals ages 50 to 79 years with an estimated 15-year colorectal cancer risk below 3%.
https://gastroenterology.acponline.org/archives/2019/10/25/2.htm
25 Oct 2019
Low-volume bowel prep appears as effective as high-volume for colonoscopy
No significant between-group differences were seen for low-volume versus high-volume split-dose regimens in adequacy of bowel cleansing, while low-volume regimens had higher odds of patient adherence or completion, tolerability, and willingness to repeat.
https://gastroenterology.acponline.org/archives/2019/11/22/1.htm
22 Nov 2019
ACP issues new guidance on colorectal cancer screening
For asymptomatic, average-risk patients ages 50 to 75 years, the guidance suggests use of a fecal immunochemical test (FIT) or high-sensitivity guaiac-based fecal occult blood test every two years, colonoscopy every 10 years, or flexible sigmoidoscopy every 10 years plus FIT every two years.
https://gastroenterology.acponline.org/archives/2019/11/22/8.htm
22 Nov 2019
Studies examine effects of EHR nudges, physician uptake on CRC screening
Active choice interventions in an EHR prompted an increase in ordering of cancer screenings but not patient follow-through, while physicians who themselves underwent colorectal cancer (CRC) screening had more patients do so as well.
https://gastroenterology.acponline.org/archives/2019/11/22/2.htm
22 Nov 2019
Early colonoscopy did not improve outcomes in those hospitalized for lower GI bleeding
A meta-analysis included four randomized trials comparing outcomes of colonoscopy within 24 hours versus later elective colonoscopy and/or other diagnostic tests in patients with lower gastrointestinal (GI) bleeding.
https://gastroenterology.acponline.org/archives/2019/12/27/3.htm
27 Dec 2019
Spotlight on ulcerative colitis
In the past month, the American Gastroenterological Association published new recommendations, a meta-analysis compared first- and second-line treatments, and a study found a recent decrease in colorectal cancer incidence in patients with ulcerative colitis.
https://gastroenterology.acponline.org/archives/2020/01/24/5.htm
24 Jan 2020