Recomendado pelo AMICOR Reginaldo Albuquerque Should Routine Screening for Coronary Artery
Disease Be Recommended? A Comparison With
Routine Screening for Colon Cancer
Both colon cancer and atherosclerotic heart disease meet the criteria for disease screening (ie, a prolonged incubation period, an identifiable predisease lesion, and a positive clinical response to treatment when the lesion is detected early).
The American Cancer Society (ACS) estimates that 50,000 people in the United States die each year of colon cancer—a preventable disease. Prevention consists of periodic screening for precancerous polyps with either a colonoscopy or a high-sensitivity stool-based test. However, if any
of the stool assays is positive, a colonoscopy is required. A colonoscopy costs approximately $3000, involves a thorough bowel prep, requires a day lost from work, and is poorly tolerated by patients. Current 2018 guidelines issued by the ACS recommend screening for colon cancer beginning as early as 45 years of age and repeating the procedure every 5-10 years depending on the assessment of cancer risk.1 /.../
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