Colorectal cancer screening for seniors often inappropriate

  • Cancer of the Left Descending Colon
  • Large Tumor (Green Area)
  • Sigmoid Colon Cancer
  • Histology
  • Adenocarcinoma of the Rectum
  • Adenocarcinoma (Pink, Left)
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Colorectal Cancer

Colorectal cancer screening for seniors often inappropriate
Colorectal cancer screening for seniors often inappropriate

HealthDay News — Geriatric patients with limited life expectancy frequently receive colorectal cancer screening, results of a study published in the Journal of the American Geriatrics Society.

To examine receipt of colorectal cancer (CRC) screening according to age and life expectancy (LE) in adults aged 65 years and older, Mara A. Schonberg, MD, MPH, of Harvard Medical School in Boston, and colleagues analyzed data collected from 7,747 community-dwelling patients, aged 65 years and older, who participated in the 2008 or 2010 National Health Interview Survey.

CRC screening was higher in 2010 than in 2008 (58.9% versus 53.7%; P<0.001), and correlated with longer LE and younger age. However, 51.1% of adults aged 75 years and older and 50.9% of adults with less than a 10-year LE reported receiving CRC screening.

CRC screening of adults aged 65 years and older was targeted to those aged 75 years and older and those with less than a 10-year LE in 28.4% of cases, based on age and LE at time of screening. Overall, 39.2% of adults aged 65 to 75 years with a 10-year LE or more had not been screened recently.

"Older adults with little chance of benefit because of limited LE commonly undergo CRC screening, whereas many adults aged 65 to 75 years with a 10-year LE or greater are not screened," concluded the scientists.

References

  1. Schonberg MA et al. Journal of the American Geriatrics Society. 2015; doi: 10.1111/jgs.13335
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