Colon Cancer Screening Cost-Effective for Elderly Patients

 

Adults over the age of 75 who have never been screened for colon cancer would benefit from screening according to a new study.

The study authored by Frank van Hees, of Erasmus University Medical Center in Rotterdam, the Netherlands, used data from observational and experimental studies and statistical analysis to determine the risks of colon cancer for groups ranging in age from 76 to 90. The study found that colorectal cancer screening was cost-effective for persons without major health issues up to age 86.

Just last month research published in JAMA Internal Medicine suggested CRC screening and 25 other tests had little or no clinical benefit to patients. The United States Preventive Services Task Force recommends screening for individuals between the age of 50 and 75. But it doesn’t recommend screening for anyone over 75 who has already been screened.

“This study has important implications regarding unscreened patients over age 75 and provides compelling evidence that these patients would likely benefit from colorectal cancer screening, preferably colonoscopy, and as close to age 75 as possible,” Amanda Clark, M.D., of the department of internal medicine at the University of Alabama, Birmingham told Medscape Medical News. Clark co-authored an editorial accompanying the study that also was published in Annals.

“Colorectal cancer screening should be considered in every person over age 75 without fatal illness who has not had prior screening,” she said.

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