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Invited Commentary | July 12, 2010

Moving Toward Personalization of Colorectal Cancer Screening: Comment on “Influence of Race and Sex on Prevalence and Recurrence of Colon Polyps”

Hemant K. Roy, MD; Laura K. Bianchi, MD

Arch Intern Med. 2010;170(13):1132-1134. doi:10.1001/archinternmed.2010.206.

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Widespread use of colonoscopy has achieved a modicum of success, as evidenced by a slight decrease in CRC rates. However, a recent National Institutes of Health consensus panel noted that screening rates are still suboptimal, and thus colorectal malignant neoplasms remain the second leading cause of cancer deaths.¹ Moreover, performing colonoscopy on the entire average-risk population (approximately 100 million Americans 50 years or older) is remarkably inefficient, with a low yield of clinically significant neoplasia (approximately 5%-6%).² Thus, from a cancer prevention perspective, most screening colonoscopies are unproductive.

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Roy HK, Bianchi LK. Moving Toward Personalization of Colorectal Cancer Screening: Comment on “Influence of Race and Sex on Prevalence and Recurrence of Colon Polyps”. Arch Intern Med. 2010;170(13):1132-1134. doi:10.1001/archinternmed.2010.206.

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