Health
Many people do not undergo a colonoscopy even if the stool test is positive
January 27, 2023 – Nearly half of people with a positive stool test result do not have a potentially life-saving follow-up colonoscopy, according to a new study.
The researchers said clinicians were “uniformly surprised” that patients did not seek follow-up treatment.
“Obviously, that’s a big question,” said study co-author Jeff Mohl, Ph.D., director of research and analysis for the American Medical Group Association. health day“If you’re trying to estimate how many lives will be saved, you’re assuming that everyone will get follow-up if they get a positive result, and if half don’t do it, obviously half will.” Only saved. Many people.”
Stool tests are 71% to 92% accurate, depending on the type of screening, according to. Cleveland ClinicEarly detection is key. If colorectal cancer is caught early, 90% of people will live at least five more years.
of study was published in this month’s JAMA Network Open. The researchers analyzed data from 32,769 women aged 50 to 75 who had a positive stool test between January 2017 and June 2020.
Overall, 56% planned a follow-up colonoscopy within 1 year. Health care providers of patients who did not undergo a colonoscopy said the discomfort of the procedure may have influenced the patient’s decision.
Colonoscopy screens for colorectal cancer and potentially precancerous polyps. This procedure is usually done on an outpatient basis, lasts about an hour, and requires dietary changes and laxatives beforehand.
people should start colon screening at age 45. guidelines from an independent panel. Those with an average risk level can first have a stool-based screening test like the one involved in the study.
The researchers found that the likelihood of scheduling a follow-up colonoscopy varied depending on the person’s race, ethnicity, type of insurance, and type of screening used (stool immunochemistry or multitargeted stool DNA). found to be affected. Socioeconomic factors and the COVID-19 pandemic were significantly associated with lower follow-up rates.
The study authors noted that few healthcare systems track whether patients with positive stool results have had colonoscopies, and recommended backlog prioritization.
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Sources 2/ https://www.webmd.com/colorectal-cancer/news/20230127/many-people-do-not-get-colonoscopies-even-after-positive-stool-test The mention sources can contact us to remove/changing this article |
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