Will Test-Specific Adherence Predict the Best Colorectal Cancer Screening Strategy?
Authors: Ann G. Zauber
Journal: Annals of Internal Medicine (2009)

Letters3 March 2009Will Test-Specific Adherence Predict the Best Colorectal Cancer Screening Strategy?Ann G. Zauber, PhD, Marjolein van Ballegooijen, MD, PhD, and Karen M. Kuntz, ScDAnn G. Zauber, PhDFrom Memorial Sloan-Kettering Cancer Center, New York, NY 10065; Erasmus Medical Center, 3000CA Rotterdam, the Netherlands; and University of Minnesota, Minneapolis, MN 55455.Search for more papers by this author, Marjolein van Ballegooijen, MD, PhDFrom Memorial Sloan-Kettering Cancer Center, New York, NY 10065; Erasmus Medical Center, 3000CA Rotterdam, the Netherlands; and University of Minnesota, Minneapolis, MN 55455.Search for more papers by this author, and Karen M. Kuntz, ScDFrom Memorial Sloan-Kettering Cancer Center, New York, NY 10065; Erasmus Medical Center, 3000CA Rotterdam, the Netherlands; and University of Minnesota, Minneapolis, MN 55455.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-150-5-200903030-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree that an interesting finding from our analysis (1) for the USPSTF is that all the screening strategies now recommended by the USPSTF are nearly equivalent for life-years gained with screening when all have equivalent 100% adherence. We note that the USPSTF recommendation for the strategies of a highly sensitive guaiac or immunochemical fecal occult blood test (FOBT) annually, flexible sigmoidoscopy every 5 years with a sensitive FOBT, and colonoscopy every 10 years are based on the perspective of a program of screening from age 50 to 75 years with the end point of life-years gained rather ...References1. Zauber AG, Lansdorp-Vogelaar I, Knudsen AB, Wilschut J, van Ballegooijen M, Kuntz KM. Evaluating test strategies for colorectal cancer screening: a decision analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2008;149:659-69. [PMID: 18838717] LinkGoogle Scholar2. Levin B, Lieberman DA, McFarland B, Smith RA, Brooks D, Andrews KS, et al; American Cancer Society Colorectal Cancer Advisory Group. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin. 2008;58:130-60. [PMID: 18322143] CrossrefMedlineGoogle Scholar3. Shapiro JA, Seeff LC, Thompson TD, Nadel MR, Klabunde CN, Vernon SW. Colorectal cancer test use from the 2005 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev. 2008;17:1623-30. [PMID: 18628413] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Ann G. Zauber, PhD; Marjolein van Ballegooijen, MD, PhD; Karen M. Kuntz, ScDAffiliations: From Memorial Sloan-Kettering Cancer Center, New York, NY 10065; Erasmus Medical Center, 3000CA Rotterdam, the Netherlands; and University of Minnesota, Minneapolis, MN 55455.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Colorectal Cancer: A Targeted, Updated Systematic Review for the U.S. Preventive Services Task Force Evelyn P. Whitlock , Jennifer S. Lin , Elizabeth Liles , Tracy L. Beil , and Rongwei Fu Evaluating Test Strategies for Colorectal Cancer Screening: A Decision Analysis for the U.S. Preventive Services Task Force Ann G. Zauber , Iris Lansdorp-Vogelaar , Amy B. Knudsen , Janneke Wilschut , Marjolein van Ballegooijen , and Karen M. Kuntz Will Test-Specific Adherence Predict the Best Colorectal Cancer Screening Strategy? Samir Gupta Metrics 3 March 2009Volume 150, Issue 5Page: 359-360KeywordsClinical trialsColonoscopyColorectal cancerColorectal cancer screeningConflicts of interestFlexible sigmoidoscopyHematologic tests ePublished: 3 March 2009 Issue Published: 3 March 2009 Copyright & PermissionsCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...