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Volume 353:844-846 August 25, 2005 Number 8
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Colonoscopic Screening of Women for Colorectal Neoplasia

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by Schoenfeld, P.
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To the Editor: In the report by Schoenfeld et al. (May 19 issue)1 on the Colorectal Neoplasia Screening with Colonoscopy in Average-Risk Women at Regional Naval Medical Centers (CONCeRN) study, the investigators conclude that colonoscopy is the best test for women, because flexible sigmoidoscopy is less sensitive for advanced proximal colorectal neoplasia, relative to the sensitivity of flexible sigmoidoscopy for detecting this neoplasia in men. Patients, however, are concerned about absolute risk, not relative risk. Overall, the absolute risk of having an advanced neoplasm was lower in women than in men, and fewer women had advanced proximal neoplasia.1,2 Furthermore, the . . . [Full Text of this Article]



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