Ayokunle T. Abegunde, MBBS, MSc, DTM&H
Potential Conflicts of Interest: None disclosed.
Abegunde A.; Screening for Colorectal Cancer. Ann Intern Med. 2012;157:217. doi: 10.7326/0003-4819-157-3-201208070-00017
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Published: Ann Intern Med. 2012;157(3):217.
TO THE EDITOR:
The evidence supporting the effectiveness of early screening of African Americans at average risk for colorectal cancer (CRC) is scarce. It is surprising that the American College of Physicians' (ACP) guidance statement (1) recommends CRC screening in this group at age 40 years when there is no evidence that such a strategy is effective. A recent article from Gupta and colleagues (2) reported that increasing colonoscopy participation by 5% and 10% among African Americans aged 50 years or older detected 53% and 57% of CRC, respectively, and early screening of African Americans at age 45 years detected 52% of CRC. You and colleagues (3) further demonstrate that early-onset CRC was more prevalent among nonwhite patients who were either uninsured or insured by Medicaid (3).
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