This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the authors' clinicalrecommendations.
A healthy 50-year-old woman at average risk for colorectal cancer(i.e., age is her only risk factor) is scheduled to undergoa periodic examination. Which screening test for colorectalcancer should be recommended?
The Clinical Problem
Even though colorectal cancer is the second most common causeof cancer-related death in the United States1 and screeningcan reduce the rate of death by detecting early cancer . . . [Full Text of this Article]
Strategies and Evidence
Fecal Occult-Blood Testing
Sigmoidoscopy
Colonoscopy
Other Tests
Comparison of Different Tests
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Departments of Medicine and Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill.
Address reprint requests to Dr. Ransohoff at CB 7080, 724 Burnett-Womack Bldg., University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7080, or at ransohof@med.unc.edu.
References
Related Letters:
Screening for Colorectal Cancer
Maule W. F., Bruzzi J. F., Brennan D. D., Fenlon H. M., Sood A., Sood R., Ransohoff D. F., Sandler R. S.
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N Engl J Med 2002;
346:1672-1674, May 23, 2002.
Correspondence
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