Monday, May 21, 2012
Editorial: Why You Should Care about Screening Flexible Sigmoidoscopy — NEJM
Blogger's Note: read the whole editorial for further information regarding colonoscopies, this blog also has trial data on colonoscopies/research/opinions
Why You Should Care about Screening Flexible Sigmoidoscopy — NEJM
"...The real question for U.S. (blogger's note: and others) clinicians is whether we are prepared to refocus attention on a screening strategy that has been likened to performing mammography on one breast..."
...Where does this leave us with regard to screening flexible sigmoidoscopy? First, it should be acknowledged that flexible sigmoidoscopy reduces colorectal-cancer incidence and mortality for the portion of the colon that it is designed to examine. Next, high-quality evidence must show the superiority of colonoscopy over other screening tests before we dismiss the use of flexible sigmoidoscopy and fecal occult-blood testing, both of which have randomized, controlled trials supporting their benefit. Especially critical are data that confirm the ability of colonoscopy to reduce mortality from proximal cancers. Finally, patient preferences for screening tests should be identified and respected — in this case, the best test is the one that gets done.
New Data Concludes Wait Times for Patients With Gastrointestinal Disease Are Increasing Across Canada - MarketWatch
New Data Concludes Wait Times for Patients With Gastrointestinal Disease Are Increasing Across Canada - MarketWatch
OAKVILLE, ONTARIO, May 17, 2012 (MARKETWIRE via COMTEX) --
The Canadian Association of Gastroenterology (CAG) today joined the
Ontario Association of Gastroenterology (OAG) in voicing their
objection to the Government of Ontario's May 7, 2012 decision to
overhaul the fee structure for approximately 40 medical procedures
and services that Ontario doctors provide. Colonoscopies are among
the medical tests for which professional fees face a cut of 10%.
Pointing to new initial data gathered in April 2012 from the Canadian
Association of Gastroenterology Survey of Access to GastroEnterology
(SAGE), Desmond Leddin, Lead of the SAGE, says "a comparison of data
from surveys performed in 2005 and 2008 shows that wait times for
patients with gastrointestinal disease have increased across Canada."
"This CAG national survey information combined with the new fee
structure in Ontario gives us cause for concern about patient
safety," says CAG President Dan Sadowski.
"With evidence in hand that patient wait times have been increasing
over the past seven years, we can't support any government decision -
in Ontario or elsewhere in Canada - that results in reduced access
to, or longer wait times for, important medical procedures including
colonoscopy, which can prevent and reduce cancer rates.".....
Roche will report new data on important progress for people with advanced cancers at ASCO 2012 - AURELIA trial ovarian/Avastin+
Roche will report new data on important progress for people with advanced cancers at ASCO 2012
Data from AURELIA, the first Phase III study of Avastin plus chemotherapy in people with platinum-resistant recurrent ovarian cancer will be presented. This study will be highlighted as part of ASCO’s official press program.
Petitions | The White House re: free access to scientific journal articles....
Petitions | The White House
we petition the obama administration to:
Require free access over the Internet to scientific journal articles arising from taxpayer-funded research.
Genetic Testing and Counseling Nevada Surgery and Cancer Care
Genetic Testing and Counseling | NVSCC: Nevada Surgery and Cancer Care
Genetic Testing and Counseling
We offer:
Genetic Counseling and Genetic Screening for Breast, Ovarian and Colorectal Cancer.Personal or Family History of Breast and Ovarian Cancer*
( * Hereditary Breast and Ovarian Cancer (HBOC) syndrome is an inherited condition that causes an increased risk for ovarian, breast, pancreatic and prostate cancer. The vast majority of hereditary breast and ovarian cancer is due to an alteration or gene mutation in either the BRCA1 or BRCA2 genes. These gene mutations can be inherited from either your mother or father.)
Personal and Family History of Colorectal Cancer
(* Lynch Syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC), is an inherited condition that causes an increased risk for early onset colorectal cancer (often before age 50) as well as other related cancers†. The majority of Lynch Syndrome is due to a mutation in the MLH1, MSH2 or MSH6 genes. These mutations can be inherited from either your mother or father.
† colorectal, endometrial, stomach, ovarian, kidney/urinary tract, brain, small bowel, pancreatic, sebaceous adenoma/carcinoma)
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