Content from Twitter
| From: | Fri Jan 04 0:00:00 PST 2013 |
| To: | Fri Jan 04 8:00:00 PST 2013 |
| ecuimchiefs | Join #ecuimres for #grandrounds "Colorectal Cancer Screening: How can we improve?" | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer Screening by Dr P Lepera. Profile here: ... http://t.co/EsgPxtOl | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: objectives=review stats, current recs, update on RCTs, & minimize screening disparities | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: 3rd most common cause of cancer; ~9% of all cancers | |
| ecuimchiefs | #ecuimres #grandrounds Reviewing NCCN guidelines for screening. Avg risk= age >50, no hx of adenoma, no hx of IBD, neg fam hx | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: NCCN definition of an avg risk pt= age >50, no h/o adenomas, no h/o IBD & negative family hx | |
| ecuimchiefs | #ecuimres #grandrounds NCCN: colonoscopy is the preferred modality for screening. If neg, repeat in 10 yrs. If positive/polyps-->polypectomy | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: can b screened by colonoscopy, FOBT, or flex sig; #colonoscopy is the preferred screening test | |
| ecuimchiefs | #ecuimres #grandrounds Alternative to colonoscopy screening (if unavailable) can do stool based guaiac testing +/- flex sigmoidoscopy | |
| ecuimchiefs | #ecuimres #grandrounds If positive --> colonoscopy | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: USPSTF guidelines 4 screening http://t.co/VcQeOpaC | |
| ecuimchiefs | #ecuimres #grandrounds http://t.co/JH90IA4C | |
| ecuimchiefs | #ecuimres #grandrounds Do physicians understand cancer screening statistics? http://t.co/hNg3YtL5 | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: survival alone isn't the most reliable measure of screening test efficacy Annals 2012 (march 6) | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: cause-specific mortality is more reliable Annals 2012 156:5 | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: overall survival stats in context of screening is susceptible 2 lead time & overdiagnosis bias | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: NEJM Feb 2012: polypectomy does reduce cancer-specific mortality | |
| ecuimchiefs | #ecuimres #grandrounds Dr Lepera now reviewing data from: http://t.co/EBpuXOrR | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: what about screening w/ flex sig? NEJM 2012 366:25 indicates decr cause-specific mortality | |
| ecuimchiefs | #ecuimres #grandrounds Now reviewing data from: http://t.co/ahgLdNak | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: even FOBT decr cause-specific mortality; RR 0.9 (Br J of Cancer June 2012) | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: COLONPREV study compares colonoscopy vs FOBT screening efficacy NEJM 2012 366:697 | |
| ecuimchiefs | #ecuimres #grandrounds Comparing Colonoscopy vs Fecal Immunochemical Testing: http://t.co/mNkmwSML | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer: Soneji JOP 2012 shows a rise in screening, mostly by endoscopy & not by FOBT; | |
| nephondemand | #ecuimres #grandrounds: #Colorectal #Cancer:SEER database shows an increase in CRC incidence in the 40-44 yr old range & decrease in >65 age |
Content from Twitter