Screening for Colorectal Cancer
Authors: Thomas D. Denberg, Linda L. Humphrey, Paul Shekelle, Amir Qaseem
Journal: Annals of Internal Medicine (2012)

Letters7 August 2012Screening for Colorectal CancerThomas D. Denberg, MD, PhD, Linda L. Humphrey, MD, MPH, Paul Shekelle, MD, PhD, and Amir Qaseem, MD, PhD, MHAThomas D. Denberg, MD, PhDFrom Harvard Vanguard Medical Associates and Atrius Health, Auburndale, MA 02466; Oregon Health and Science University, Portland, OR 97201; West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA 90073; and American College of Physicians, Philadelphia, PA 19106.Search for more papers by this author, Linda L. Humphrey, MD, MPHFrom Harvard Vanguard Medical Associates and Atrius Health, Auburndale, MA 02466; Oregon Health and Science University, Portland, OR 97201; West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA 90073; and American College of Physicians, Philadelphia, PA 19106.Search for more papers by this author, Paul Shekelle, MD, PhDFrom Harvard Vanguard Medical Associates and Atrius Health, Auburndale, MA 02466; Oregon Health and Science University, Portland, OR 97201; West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA 90073; and American College of Physicians, Philadelphia, PA 19106.Search for more papers by this author, and Amir Qaseem, MD, PhD, MHAFrom Harvard Vanguard Medical Associates and Atrius Health, Auburndale, MA 02466; Oregon Health and Science University, Portland, OR 97201; West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA 90073; and American College of Physicians, Philadelphia, PA 19106.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-3-201208070-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Dr. Abegunde, Dr. Keller, and Dr. Stagg for their comments regarding the recent guidance statement on CRC screening.We agree with Dr. Abegunde that the evidence regarding the benefits of starting to screen African Americans at age 40 years is scarce. The American College of Gastroenterology recommends initiating screening at age 45 years for African Americans; the joint guideline from the American Cancer Society/U.S. Multisociety Task Force on Colorectal Cancer/American College of Radiology recommends beginning screening at age 40 years for high-risk groups (with no mention of race); and the USPSTF does not address high-risk groups ...Reference1. Walter LC, Lindquist K, Nugent S, Schult T, Lee SJ, Casadei MA, et al. Impact of age and comorbidity on colorectal cancer screening among older veterans. Ann Intern Med. 2009;150:465-73. [PMID: 19349631] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Harvard Vanguard Medical Associates and Atrius Health, Auburndale, MA 02466; Oregon Health and Science University, Portland, OR 97201; West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA 90073; and American College of Physicians, Philadelphia, PA 19106.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-3122. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Colorectal Cancer: A Guidance Statement From the American College of Physicians Amir Qaseem , Thomas D. Denberg , Robert H. Hopkins Jr. , Linda L. Humphrey , Joel Levine , Donna E. Sweet , Paul Shekelle , and Screening for Colorectal Cancer Ayokunle T. Abegunde Screening for Colorectal Cancer David L. Keller Screening for Colorectal Cancer Tazia K. Stagg Metrics 7 August 2012Volume 157, Issue 3Page: 218-219KeywordsCancer screeningColorectal cancerComputed axial tomographyConflicts of interestDiagnostic radiologyDisclosureLife expectancyRadiation exposureScreening guidelines ePublished: 7 August 2012 Issue Published: 7 August 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...