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Do you need a colonoscopy? Here’s what major new study finds

Do you need a colonoscopy? Here’s what major new study finds

 


  • A new study of colonoscopies found that people who were screened were 31% less likely to be diagnosed with colon cancer.
  • All Americans are encouraged to have a colonoscopy at age 45.
  • Researchers say the effectiveness of colonoscopy is lower than estimated from previous studies.

Colonoscopies may not be as effective in preventing and reducing the risk of colorectal cancer as we once believed, according to new research.

of study published this week in New England Journal of Medicine Colonoscopies found on Monday lowered people’s risk of developing cancer, but it was much lower than previously observed in other studies.

After adjustment, researchers estimate that screening is 31% more effective in preventing cancer and can reduce the risk of dying from cancer by about 50%.

Colonoscopy, a procedure that uses a camera to view the colon and identify abnormal growths, has been proven to help detect and prevent cancer, but researchers say its effectiveness is limited. , said it was lower than estimates from previous studies that informed clinical guidance.

Still, a colonoscopy is the best way to detect colorectal cancer and remove malignant tumors early.

all Americans are Colonoscopy Beginning at age 45, you should have regular check-ups every 10 years.

“In this case, screening for colorectal cancer by colonoscopy reduces colorectal cancer incidence and mortality. This has not changed, so the message remains.” Dr. Xavier RolleMD, Co-Director of the Smilow Cancer Genetics and Prevention Program and Professor of Medicine at the Yale School of Medicine.

Researchers monitored the health of 84,585 patients in Norway and Sweden over a 10-year period.

Of the participants, 28,220 were invited to undergo colonoscopies, but only 11,843 (or 42%) underwent surgery.

During the 10-year follow-up period, 0.98% of patients invited to undergo colonoscopy were diagnosed with colorectal cancer, and 1.2% of patients in the group not invited to undergo screening had colorectal cancer. I was diagnosed with cancer. It lowered the risk of cancer by about 18%.

The researchers then adjusted the analysis to estimate how effective screening would be if everyone invited to have a colonoscopy was tested.

They found that those who were screened were 31% less likely to be diagnosed with colorectal cancer and had a 50% lower risk of dying from it.

Although a 31% risk reduction is a significant reduction in risk, the researchers found that the effect of colonoscopy in reducing cancer risk was past Estimate I found it.

other the study Colonoscopies have been shown to reduce the risk of death by up to 68%.

Dr. Uli RadabaumM.D., MS., professor of medicine at Stanford University School of Medicine and director of the Gastrointestinal Cancer Prevention Program, said it was important to recognize that screening participation significantly influenced the findings. .

Despite the fact that routine colonoscopies are lifesaving, many Americans do not get them.

“These results should not cast doubt on the efficacy of colorectal cancer (CRC) screening, nor should they be misinterpreted as evidence that colonoscopy is an inadequate CRC screening test.” said Ladabaum.

AS Dr. Anton BirchikPhD, surgical oncologist and chief of general surgery at Providence St. John’s Health Center and chief of medicine at St. They say it’s the most accurate way to reduce the risk of developing it.

“In particular, the rapid increase in the number of young people diagnosed with colon cancer should not affect recent standard recommendations to start colon cancer screening at age 45,” Bilchik said. .

That said, low-risk patients should consider less invasive alternatives such as stool-based testing, Bilchik added.

Further research is needed to better understand the efficacy of colonoscopy and whether other types of screening methods are more useful for certain patients.

“Results from an ongoing randomized trial comparing home stool testing and colonoscopy are crucial in changing practice patterns and potentially reducing the number of colonoscopies performed. is,” said Bilchik.

So far, however, colonoscopy remains the most effective method for detecting cancer and intervening early.

“The message remains the same: colorectal cancer screening saves lives,” says Llor.

Colonoscopy may not be as effective at detecting cancer as medical professionals once believed, but it remains the most accurate way to identify colon cancer, according to new research. Effectiveness is also highly dependent on participation rates. Many people who are advised to have regular screenings do not have colonoscopies.

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