Following the recommendations of various expert panels and professionalorganizations, the Medicare program in the United States hasagreed to pay for annual fecal occult-blood tests for all patients.But is population screening by fecal occult-blood testing premature?Simon and Fletcher present two points of view.
Address reprint requests to Dr. Simon at the Division of Gastroenterology, Hotel Dieu Hospital, 166 Brock St., Kingston, ON K7L 5G2, Canada.
Recent controlled clinical trials have demonstrated that periodicfecal occult-blood testing can reduce deaths from colorectalcancer.1,2,3 As a result, the U.S. Preventive Services TaskForce, the American Cancer Society, and several other professionalorganizations all recommend annual testing of the general populationbeginning at the age of 50. Public attention is mounting, and. . . [Full Text of this Article]
Address reprint requests to Dr. Fletcher at the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 126 Brookline Ave., Boston, MA 02215.
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