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. 2010:121:94-103.

Colon cancer screening in the elderly: when do we stop?

Joanne A P Wilson  1
Affiliations

Colon cancer screening in the elderly: when do we stop?

Joanne A P Wilson. Trans Am Clin Climatol Assoc. 2010.

Abstract

Colon cancer is a major cause of cancer death in the US. Screening studies can prevent colon cancer and are recommended for average risk persons beginning at 50 years of age. Compliance with these recommendations has increased, particularly among those over 65 years old who have an increased prevalence of cancer and for whom screening is covered by Medicare. However, the efficacy of screening (and surveillance) in this population has not been well studied. The effect of co-morbidities and potentially increased risk of procedures performed on older adults are important concerns. This review addresses the benefits and harms of screening in the elderly. Physician emphasis on health status, life expectancy and patient preferences is critical in decision-making regarding colon cancer screening in this patient population. The recent update in the recommendations of the US Preventive Services Task Force (USPSTF) are reviewed.

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Conflict of interest statement

Potential Conflicts of Interest: None.

Figures

Fig. 1
Fig. 1
Life Expectancy of Women in US.
Fig. 2
Fig. 2
Risk of Dying of Colon Cancer Vs Age and Health Status.
See this image and copyright information in PMC

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References

    1. Walter LC, Lewis CL, Barton MB. Screening for colorectal, breast, and cervical cancer in the elderly: A review of the evidence. The American Journal of Medicine. 2005;118:1078–86. - PubMed
    1. Whitlock EP, et al. Screening for colorectal cancer: a targeted, updated systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine. 2008;149:638–58. [see comment] [summary for patients in Ann Intern Med. 2008 Nov 4;149(9):I–44; PMID: 18838719] - PubMed
    1. Levin B, et al. 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. Gastroenterology. 2008;134:1570–95. - PubMed
    1. Burnand B, et al. Use, appropriateness, and diagnostic yield of screening colonoscopy: an international observational study (EPAGE) Gastrointestinal Endoscopy. 2006;63:1018–26. - PubMed
    1. Deenadayalu VP, Rex DK. Colorectal cancer screening: a guide to the guidelines. Reviews in Gastroenterological Disorders. 2007;7:204–13. - PubMed

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