Peter J. Greco, MD
To the Editors: In his excellent review of colorectal cancer screening strategies, Dr. Eddy (1) acknowledges that the current uncertainty makes uniform recommendations impossible. However, he suggests as ''explicit guidelines" that average-risk persons over 50 years old receive annual fecal occult blood testing (FOBT) and sigmoidoscopy every 3 to 5 years and that high-risk persons receive a complete examination of the colon every 3 to 5 years (with barium enema). Using the data from his Figure 1, it is apparent that FOBT with barium enema every 5 years is both less expensive and more effective than FOBT with sigmoidoscopy every
Greco PJ. Screening for Colorectal Cancer. Ann Intern Med. ;114:166–167. doi: 10.7326/0003-4819-114-2-166
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Published: Ann Intern Med. 1991;114(2):166-167.
Cancer Screening/Prevention, Colorectal Cancer, Gastroenterology/Hepatology, Gastrointestinal Cancer, Hematology/Oncology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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