Amanda V. Clark, MD; C. Seth Landefeld, MD
Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0869.
Requests for Single Reprints: C. Seth Landefeld, MD, Chair, Department of Medicine, University of Alabama at Birmingham, Boshell Diabetes Building, Suite 420, 1720 2nd Avenue South, Birmingham, AL 35294-0012; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Clark: Chief Resident, University of Alabama at Birmingham Internal Medicine Residency Training Program, Boshell Diabetes Building, Suite 327, 1720 2nd Avenue South, Birmingham, AL 35294-0012.
Dr. Landefeld: Chair, Department of Medicine, University of Alabama at Birmingham, Boshell Diabetes Building, Suite 420, 1720 2nd Avenue South, Birmingham, AL 35294-0012.
Clark A., Landefeld C.; A “Green Banana” Worth Buying in Older Age: Colorectal Cancer Screening for Persons Older Than 75 Years Without Previous Screening. Ann Intern Med. 2014;160:804-805. doi: 10.7326/M14-0869
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Published: Ann Intern Med. 2014;160(11):804-805.
Many older persons recognize that life is limited: “When you're 83, it's not going to be 20 years,” a patient said (1). Some older persons and their physicians implement pragmatic strategies represented by the sayings “We don't buy green bananas” and “We practice slow medicine” (2). For persons older than 75 years, colorectal cancer screening may be considered an exemplar of the medical “green banana”—it takes years to ripen in terms of preventing death, a time that may seem long when life expectancy may be short. In this issue, van Hees and colleagues (3) provide compelling evidence that many older persons should buy the medical green banana of colorectal cancer screening, at least into their 80s: Among persons who have never had colorectal cancer screening, those without comorbid conditions will benefit from colorectal cancer screening with acceptable costs up to age 86 years, and even those with severe comorbid conditions will benefit with acceptable costs up to age 80 years.
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Gastroenterology/Hepatology, Geriatric Medicine, Hematology/Oncology, Cancer Screening/Prevention, Colonoscopy/Sigmoidoscopy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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