To the Editor: Imperiale et al. (June 6 issue)1 presented awell-designed and important study on the effectiveness of screeningfor colon cancer in persons 40 to 49 years of age. However,the conclusions appear perhaps to be driven more by cost thanby effectiveness.
The goal of screening is not only the detection of early coloncancer but also, more important, the identification and removalof precursor adenomas — that is, prevention.2 In theirdiscussion, the authors imply that detecting an adenoma andremoving it in a person 40 years of age is equivalent to operatingon it, at . . . [Full Text of this Article]
Previous
