Screening colonoscopy in balance. Issues of implementation.
Although colonoscopy is currently considered an option for colon cancer screening, its choice as a preferred screening test is not supported by data, recommendations, or cost-effectiveness analysis. The use of colonoscopy in postpolypectomy surveillance constitutes a huge potential effort that should be appropriately anticipated and managed. Noninvasive methods for colon cancer screening may reduce the need for colonoscopy in the future.
Ransohoff
David F
DF
Department of Medicine, CB# 7080, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7080, USA. ransohof@med.unc.edu
D002986:Clinical Trials as Topic; D003113:Colonoscopy / Q000592:standards*; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine; D006801:Humans; D008403:Mass Screening / Q000592:standards*; D017410:Practice Guidelines as Topic; D012680:Sensitivity and Specificity