Screening for Colorectal Cancer: Need for Controlled Trials (1990)

Editorials1 September 1990Screening for Colorectal Cancer: Need for Controlled TrialsJohn H. Bond, MDJohn H. Bond, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-5-338 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAbundant evidence supports the concept of screening for colorectal cancer. The disease is of sufficient magnitude to warrant dedication of public health resources for screening. More than 150 000 new cases of and over 65 000 deaths from this disease will occur in the U.S. in 1990 (1). The lifetime probability of a person developing large-bowel cancer is approximately 5%. Unlike most other types of cancer, the disease usually exists in a detectable and easily curable preclinical phase for a long time. Safe and sensitive diagnostic tests are available, and earlier treatment leads to improved survival. Most persons are at...References1. SilverbergLubera EJ. Cancer statistics, 1988. CA. 1988;38:5-22. Google Scholar2. BurtBishopCannonDowdleLeeSkolnick RDLMRM. Dominant inheritance of adenomatous colonic polyps and colorectal cancer. N Engl J Med. 1985;312:1540-4. CrossrefMedlineGoogle Scholar3. KewenterAhlmanHulten JHL. Cancer risk in extensive ulcerative colitis. Ann Surg. 1978;188:824-7. CrossrefMedlineGoogle Scholar4. KnightFieldingBattista KJR. Occult blood screening for colorectal cancer. JAMA. 1989;261:587-93. CrossrefGoogle Scholar5. SelbyFriedman JG. Sigmoidoscopy in the periodic health examination of asymptomatic adults. JAMA. 1989;261:595-601. CrossrefGoogle Scholar6. Miller R. Detection of colon carcinoma and the barium enema. JAMA. 1974;230:1195. CrossrefMedlineGoogle Scholar7. Rankin G. Indications, cotraindications, and complications of colonoscopy. In: Sivak MV, ed. Gastroenterologie Endoscopy. Philadelphia: Saunders; 1987:868-80. Google Scholar8. HoganStewartGeenen WEJ. A prospective comparison of the accuracy of colonoscopy vs. air-contrast barium enema exam for the detection of colonic polypoid lesions. Gastrointest Endosc. 1977;23:230. Google Scholar9. FleischerGoldbergBrowning DST. Detection and surveillance of colorectal cancer. JAMA. 1989;261:580-5. CrossrefMedlineGoogle Scholar10. EddyNugentEddy DFJ. Screening for colorectal cancer in a high-risk population: results of a mathematical model. Gastroenterology. 1987;92:682-92. CrossrefMedlineGoogle Scholar11. Eddy D. Screening for colorectal cancer. Ann Intern Med. 1990;113:338-40. Google Scholar12. Gnauck R. World Health Organization criteria for screening. In: Winawer SJ, Schottenfeld D, Sherlock P, eds. Colorectal Cancer: Prevention, Epidemiology and Screening. New York: Raven Press; 1980:175-80. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: John H. Bond, MD PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe management of irritable bowel syndrome: a European, primary and secondary care collaborationHEREDITY, MOLECULAR GENETICS AND COLORECTAL CANCER: A REVIEWEstimates of costs and effects of screening for colorectal cancer in the united statesScreening for Colorectal CancerPeter J. Greco, MD 1 September 1990Volume 113, Issue 5Page: 338-340KeywordsCancer screeningColorectal cancerHealth screeningPrevention, policy, and public health ePublished: 1 December 2008 Issue Published: 1 September 1990 PDF downloadLoading ...