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Clinical Practice
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Volume 346:40-44 January 3, 2002 Number 1
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Screening for Colorectal Cancer
David F. Ransohoff, M.D., and Robert S. Sandler, M.D., M.P.H.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A healthy 50-year-old woman at average risk for colorectal cancer (i.e., age is her only risk factor) is scheduled to undergo a periodic examination. Which screening test for colorectal cancer should be recommended?

The Clinical Problem

Even though colorectal cancer is the second most common cause of cancer-related death in the United States1 and screening can 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.
Extract | Full Text | PDF  
N Engl J Med 2002; 346:1672-1674, May 23, 2002. Correspondence

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