Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults
Authors: David H. Kim
Journal: Annals of Internal Medicine (2020)

Letters7 April 2020Screening for Colorectal Cancer in Asymptomatic Average-Risk AdultsDavid H. Kim, MDDavid H. Kim, MDUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (D.H.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L20-0112 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I was disappointed to read the recommendation on computed tomography colonography (CTC) in the American College of Physicians (ACP) guidance statement on colorectal cancer (CRC) (1). As an academic radiologist who has specialized in CTC research and uses it in a busy screening program at the University of Wisconsin (where we have screened more than 13 000 patients since 2004), I know firsthand the capabilities of this study.The ACP guidance statement purports to provide direction in the face of conflicting recommendations by rigorously reviewing national guidelines and cited evidence according to the AGREE II (Appraisal of Guidelines ...References1. Qaseem A, Crandall CJ, Mustafa RA, et al; Clinical Guidelines Committee of the American College of Physicians. Screening for colorectal cancer in asymptomatic average-risk adults: a guidance statement from the American College of Physicians. Ann Intern Med. 2019;171:643-54. [PMID: 31683290]. doi:10.7326/M19-0642 LinkGoogle Scholar2. Kim DH, Pickhardt PJ, Taylor AJ, et al. CT colonography versus colonoscopy for the detection of advanced neoplasia. N Engl J Med. 2007;357:1403-12. [PMID: 17914041] CrossrefMedlineGoogle Scholar3. Pickhardt PJ, Kim DH, Pooler BD, et al. Assessment of volumetric growth rates of small colorectal polyps with CT colonography: a longitudinal study of natural history. Lancet Oncol. 2013;14:711-20. [PMID: 23746988] doi:10.1016/S1470-2045(13)70216-X CrossrefMedlineGoogle Scholar4. Pickhardt PJ, Pooler BD, Mbah I, et al. Colorectal findings at repeat CT colonography screening after initial CT colonography screening negative for polyps larger than 5 mm. Radiology. 2017;282:139-48. [PMID: 27552558] doi:10.1148/radiol.2016160582 CrossrefMedlineGoogle Scholar5. Smith GC, Pell JP. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. 2003;327:1459-61. [PMID: 14684649] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (D.H.K.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L20-0112. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians Amir Qaseem , Carolyn J. Crandall , Reem A. Mustafa , Lauri A. Hicks , Timothy J. Wilt , and Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults Thomas F. Imperiale , Steven H. Itzkowitz , David F. Ransohoff , and Philip Lavin Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults Joseph B. Weiss , Nancy S. Cetel , and Danielle E. Weiss Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults Timothy J. Wilt , Carolyn J. Crandall , Lauri A. Hicks , Reem A. Mustafa , and Amir Qaseem Metrics 7 April 2020Volume 172, Issue 7Page: 506-507KeywordsCancer preventionCancer screeningColonoscopyColorectal cancerDisclosureLesionsRadiologistsRandomized trialsResearch reporting guidelinesSystematic reviews ePublished: 7 April 2020 Issue Published: 7 April 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...