 |
|
Germany: Colonoscopy prevents 15,000 cancer cases
March 23, 2009Result confirms goals of March's Bowel Cancer Awareness Month
Since 2002, statutory health insurances in Germany have offered an endoscopic examination of the colon (colonoscopy) free of charge for all insured persons from the age of 55. Germany was the first country to make nationwide endoscopic screening for bowel cancer a part of its statutory early cancer detection program.
Scientists headed by Professor Hermann Brenner at DKFZ have now published a first calculation of the number of colorectal cancers prevented between 2003 and 2010 thanks to colonoscopy screening. The results will serve as a decision-making basis for an evidence-based evaluation of the program. Moreover, it is important for each participant to know about the benefits of the examination which is wrongly feared by many as being very unpleasant.
The researchers evaluated all 1.8 million colonoscopies which have been carried out to date in the screening program. As a calculation basis they used the number of discovered and removed advanced precancerous lesions (adenomas) which are highly likely to progress into cancer. The epidemiologists have estimated that participation in screening colonoscopy will prevent about 15,000 cases of colorectal cancer by the year 2010.
About 73.000 new cases of colorectal cancer are diagnosed each year in Germany. Around 40 percent of patients die within five years after diagnosis and another portion of sufferers succumb to the disease in the course of the following years. Therefore, Brenner's research team expects that the colonoscopy program will save around 7,500 lives between the years of 2003 and 2010 thanks to the removal of precancerous lesions alone. Moreover, since colonoscopy examinations detect cancer usually at an early stage when it is still curable, the screening program will prevent even more deaths.
The results obtained are based on complex calculations: The number of advanced adenomas found must calculated against the probability that these cancer precursors turn into cancer within a particular period of time. In addition, the calculation takes account of other factors such as the percentage of screening participants who die of other causes before cancer occurs and the participation rate in the respective age groups.
The investigators calculated the number of cancer cases prevented for each year individually and accumulated the values. Although the number of advanced adenomas discovered remains nearly constant over the years, the rate of cancer cases prevented rises each year, since many of the adenomas discovered and removed would otherwise have become cancerous several years later.
The yearly participation rate in colonoscopy screening has remained almost constant since 2003 at about four percent of eligible women and three percent of eligible men. Participants with inconspicuous examination results are offered a second examination free of charge after ten years. Thus, the total participation rate among those under 70, projected to the ten years between first and second screening colonoscopy, is 40 percent among women and 30 percent among men. "This is not bad for a beginning," says Hermann Brenner, "but if we succeeded in encouraging even more people to participate in the screening program - such as by sending personal invitations to examinations due - many more cancers could be prevented."
Helmholtz Association of German Research Centres
The researchers evaluated all 1.8 million colonoscopies which have been carried out to date in the screening program. As a calculation basis they used the number of discovered and removed advanced precancerous lesions (adenomas) which are highly likely to progress into cancer. The epidemiologists have estimated that participation in screening colonoscopy will prevent about 15,000 cases of colorectal cancer by the year 2010.
About 73.000 new cases of colorectal cancer are diagnosed each year in Germany. Around 40 percent of patients die within five years after diagnosis and another portion of sufferers succumb to the disease in the course of the following years. Therefore, Brenner's research team expects that the colonoscopy program will save around 7,500 lives between the years of 2003 and 2010 thanks to the removal of precancerous lesions alone. Moreover, since colonoscopy examinations detect cancer usually at an early stage when it is still curable, the screening program will prevent even more deaths.
The results obtained are based on complex calculations: The number of advanced adenomas found must calculated against the probability that these cancer precursors turn into cancer within a particular period of time. In addition, the calculation takes account of other factors such as the percentage of screening participants who die of other causes before cancer occurs and the participation rate in the respective age groups.
The investigators calculated the number of cancer cases prevented for each year individually and accumulated the values. Although the number of advanced adenomas discovered remains nearly constant over the years, the rate of cancer cases prevented rises each year, since many of the adenomas discovered and removed would otherwise have become cancerous several years later.
The yearly participation rate in colonoscopy screening has remained almost constant since 2003 at about four percent of eligible women and three percent of eligible men. Participants with inconspicuous examination results are offered a second examination free of charge after ten years. Thus, the total participation rate among those under 70, projected to the ten years between first and second screening colonoscopy, is 40 percent among women and 30 percent among men. "This is not bad for a beginning," says Hermann Brenner, "but if we succeeded in encouraging even more people to participate in the screening program - such as by sending personal invitations to examinations due - many more cancers could be prevented."
Helmholtz Association of German Research Centres
Colonoscopy Current Events and Colonoscopy News RSSColon cancer screening more effective earlier in day, UCLA study finds
The effectiveness of a screening colonoscopy may depend on the time of day it is performed. According to a new UCLA study, early-morning colonoscopies yielded more polyps per patient than later screenings, and fewer polyps were found hour by hour as the day progressed.
Residents play key role in CT colonography awareness and promoting the radiology specialty
Residents can serve a vital role in educating Congress, the medical community, and the general public regarding the efficacy of cutting-edge technologies like CT colonography (CTC) as well as the importance of radiologists' training and education and the role that radiologists serve in the provision of quality health care.
High-definition Colonoscopy Detects More Polyps, Mayo Clinic Researchers Say
High-definition (HD) colonoscopy is much more sensitive than standard colonoscopy in finding polyps that could morph into cancer, say researchers at the Mayo Clinic campus in Florida.
Study shows unsedated colonoscopy for colorectal cancer screening well accepted by patients
Researchers from Taiwan report in a new study that unsedated colonoscopy for primary colorectal cancer screening is well accepted in a majority of patients.
M. D. Anderson redefines screening guidelines for breast, cervical and colorectal cancers
Drawing on years of experience in cancer research and patient care, The University of Texas M. D. Anderson Cancer Center released today the most comprehensive, risk-based screening guidelines publicly available to date for breast, cervical and colorectal cancers.
How to Lower Costs, Waiting Times for Colonoscopies
Colorectal cancer is a leading cause of cancer-related deaths in the United States, leading to over 50,000 fatalities every year.
New blood tests promise simple, cost-effective diagnosis of gastrointestinal cancers
Promising results from two new blood tests that can aid in the early identification of patients with gastrointestinal (GI) cancers will be presented at Europe's largest cancer congress.
Gut Ecology in Transplant Patients
Small-bowel transplant patients with an ileostomy -- an opening into their small bowel -- have a very different population of bacteria living in their gut than patients whose ileostomy has been closed, researchers from UC Davis and Georgetown University Medical Center have found.
How to increase colonoscopy attendance?
In view of low attendance rate for colonoscopy screening for colorectal cancer (CRC), it is necessary to establish effective intervention methods to increase colonoscopy compliance.
Reinterpretation of proximal colon polyps called hyperplastic in 2001
Serrated colorectal polyps include the subgroups hyperplastic polyps, sessile serrated polyps (also called sessile serrated adenomas), and serrated adenomas.
More Colonoscopy Current Events and Colonoscopy News Articles
 |
Colonoscopy: Principles and Practice by Jerome D. Waye (Editor), Douglas K. Rex (Editor), Christopher B. Williams (Editor) First Edition - Winner of 2004 BMA Medical Book Competition in Gastroenterology The second edition of this prize winning book is written by some of the world’s foremost experts in the field of colonoscopy and colonic imaging. Every chapter has been updated and 5 new chapters have been added to include the latest information and advances in the field of colonoscopy: Capsule Colonoscopy Narrow Band Imaging Confocal Endomicroscopy Endoscopic Submucosal Dissection in the Colon New Colonoscopes and Assist Devices Drawing on the vast experience of the authors it covers every area of medicine that impacts on colonoscopy, including virtual colonography, pathology, techniques for pediatric and adult procedures, and legal aspects... |
 |
Colonoscopy: It'll Crack U Up by Patricia L. Raymond (Author) Are you the proud owner of a vintage posterior? Were you born on or before January 1, 1954? Well,then, "Colonoscopy: It’ll Crack U Up" is just up your alley! Crack U Up is the latest publication from Dr. Patricia Raymond and Rx For Sanity…a compilation of bottom humor for anyone with a tail approaching 50. Find out your risks for colon cancer, what you can do to prevent it, take the Cheek Check Challenge. Show your support for your friends and relatives post-colonoscopy – congratulate them with a great gift copy of Crack U Up! We prescribe a copy of "Crack U Up" for your personal use….and suggest you dose two of your friends or business associates with a copy. Resolve to take better care of yourself, urge those closest you to do the same, and ... |
 |
Atlas of Colonoscopy: Examination Techniques and Diagnosis by Helmut Messmann (Editor) A complete guide to colonoscopy featuring more than 1,000 superb illustrations!<br><br>In recent decades, colonoscopy has developed into one of the most essential techniques for early screening, detection, and diagnosis of colorectal cancer, inflammatory bowel disease, and other disorders. And rapid advances in interventional endoscopy offer doctors and patients an ever-increasing array of treatment possibilities. For newcomers to the technique and advanced practitioners alike, this lavishly illustrated atlas is a state-of-the-art guide to total colonoscopy.<br><br>An accessible introduction to colonoscopy<br>-Expert authors present all of the necessary instruments and examination techniques, as well as guidelines on preparation, related medications,... |
 |
Atlas of Virtual Colonoscopy by Abraham H. Dachman (Editor), J.T. Ferrucci (Editor), J.H. Bond (Editor) Virtual colonoscopy is a rapidly developing technique that promises to be safer, more economical, and less intrusive than conventional diagnostic tests for colon cancer. This procedure allows the physician to look inside the body without having to insert a long tube into the colon, as in conventinal colonoscopy, or filling the colon with liquid barium, as with barium enema. VC has attracted the attention of the media and the public as a much-lauded alternative to current techniques. In response to this demand, renowned radiologist Dr. Abraham Dachman and a distinguished list of international contributors have put together a comprehensive atlas that depicts the entire range of this new technique. The illustrations are clear and true to life, showing normal and abnormal findings in... |
 |
CT Colonography: Principles and Practice of Virtual Colonoscopy by Perry J. Pickhardt MD (Author), David H. Kim MD (Author) In CT Colonography, Perry Pickhardt and David Kim present techniques for quicker evaluation and diagnosis of colon cancer through the pioneering, specialty-changing imaging technique of virtual colonoscopy (VC). This combination of sophisticated X-rays and CT scans of the abdomen offers patients an alternative to colonoscopy that is cost effective and reduces the need for unnecessary polyp removal. Abundantly illustrated in full color, this pioneering book describes CT colonography from pathogenesis, staging and treatment through indications, technique, and interpretation for the most common pathologies. You'll have the full spectrum of VC technique and be able to see procedures performed through video clips on the included DVD. Covers principles, techniques, and interpretations... |
 |
Colonoscopy Bill Engvall (Primary Contributor) |
 |
Practical Gastrointestinal Endoscopy: The Fundamentals by Peter B. Cotton (Author), Christopher B. Williams (Author), Robert H. Hawes (Contributor), Brian P. Saunders (Contributor) Practical Gastrointestinal Endoscopy has become the basic primer for endoscopy around the world. This new edition has been thoroughly revised and updated. Drawing on the vast experience of the authors it provides clear and practical guidance on the fundamentals of standard endoscopy practice. It describes procedures in great depth and addresses improved therapeutic techniques and advances in technology. The book is well illustrated throughout with color line drawings and diagrams. It is an indispensable resource for all trainees in gastroenterology and essential read for all practising endoscopists who are interested in improving their techniques. Peter B. Cotton and Christopher B. Williams are joined in this sixth edition by two new authors, Rob H. Hawes and Brian P.... |
|
Colonoscopy Also With: Milner-Fenwick (Producer) This video outlines why patients may require a colonoscopy, including to screen for colorectal cancer. It helps array patients' fears by showing them what to expect throughout this procedure. The video explains cleansing preparations, possible complications, side effects and recovery. Scenes of polyps and their removal shot through the scope will help patients understand the importance of this procedure. Approx. 10 minutes long. | |
 |
Virtual Colonoscopy by Lippincott Williams & Wilkins Virtual Colonoscopy : Virtual Colonoscopy Pub Date: October 2007 Product Type: Print Author/s: Judy Yee MD This text is a complete and practical guide to performing virtual colonoscopy examinations and interpreting the results. The book provides precise instructions on how to prepare the patient and specific protocols for the various CT scanners currently in use. Detailed chapters on interpretation demonstrate normal anatomy, anatomic variants, CT appearances of polyps and cancer, and pitfalls of interpretation on two-dimensional and three-dimensional views. Additional chapters cover extracolonic findings, reporting, and fecal and fluid tagging. More than 700 illustrations show examination techniques and normal and pathologic findings.A companion Website will offer... |
 |
Colonoscopy - Risque Eye Charts Birthday Greeting Card by NobleWorks Inc. These cards are part of a long tradition of humorous greeting cards published by NobleWorks Inc., originators of the Talk Bubble card line. NobleWorks offers outrageously wild, hysterically funny, and sometimes unbelievably naughty greeted and blank cards. We feature such properties as Tim Whyatt, Dan Collins, Leo Cullum, Glenn McCoy, Gary McCoy, Tom Cheney, Liberace, Sign Language, Bitter With Baggage, Bad Cat, Bad Dog, Bad Baby, Bush Mania, Mortal Sins, A Cry For Help, Hot Betty, and Chrismukkah, just to name a few! |
| © 2009 BrightSurf.com |