title: Rationale for colonoscopy screening and estimated effectiveness in clinical practice.
abstract: Colonoscopy screening has the highest anticipated level of effectiveness of the available colorectal cancer screening techniques. Its long-term cost-effectiveness is also comparable with or superior to other modalities. Evidence for the expected reduction in colorectal cancer incidence and mortality varies with colonoscopy screening from 50% to 90%, for reasons that are not fully understood. Maintaining a high standard of performance is critical with regard to achieving the highest level of effectiveness possible.
authors.affiliation: Department of Medicine, Indiana University School of Medicine and Indiana University Hospital, Indianapolis 46202, USA.
authors.forename: Douglas K
authors.initials: DK
authors.lastname: Rex
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000517:prevention & control*; D001466:Barium Sulfate; D003111:Colonic Polyps / Q000175:diagnosis; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D004733:Enema; D006801:Humans; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012812:Sigmoidoscopy
chemical_list: D001466:Barium Sulfate