The Effectiveness of Colonoscopy in Reducing Mortality From Colorectal Cancer

  1. Jordan J. Karlitz, MD
  1. From Tulane University School of Medicine, New Orleans, LA 70112.

    TO THE EDITOR:

    Several issues in the article by Baxter and colleagues (1) raise concern about the adequacy of the examinations performed and therefore the clinical significance of the findings. First, the cecal intubation rates ranged from 79% to 83% among all colonoscopists. For gastroenterologists specifically, the cecal intubation rate was only 83%, which is well below current accepted rates. In subgroup analysis, the cecal intubation rate was even lower (73%) in the case patients. Baxter and colleagues appropriately performed additional …

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