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Freakonomics, M.D.

61. Should You Bother Getting a Colonoscopy?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 11 November 2022

⏱️ 32 minutes

🧾️ Download transcript

Summary

Colonoscopy is strongly recommended for Americans over 45. But a new study suggests its benefits have been overstated. Should we change how we screen for colorectal cancer?

Transcript

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0:00.0

A few weeks ago, some new research made a lot of noise.

0:06.1

A new study is raising some questions about colonoscopy screenings and how much they actually

0:11.2

reduce deaths from colon cancer.

0:13.7

In one of the largest studies ever, European researchers found colonoscopy screenings cut

0:18.7

cancer risk by 18 percent and made no difference in death rates.

0:26.8

For two decades, colonoscopy has been a right of passage for Americans over 50, though

0:32.5

the starting age has recently been lowered to 45.

0:36.4

Journalist Katie Kirk even televised hers after her husband died of colorectal cancer

0:42.4

to emphasize the importance of the procedure.

0:46.1

Physicians and public health experts have long urged people to get screened because the

0:51.0

best available evidence suggested not only could colonoscopy find cancer, it could

0:56.6

also prevent it.

0:58.8

Was everybody wrong?

1:01.3

Some doctors challenged the recent studies findings, insisting that above all else?

1:06.5

Colonoscopy saves lives.

1:08.8

Does it?

1:11.0

From the Freakonomics Radio Network, this is Freakonomics MD.

1:14.6

I'm Bob Ujena.

1:15.9

Today, I've got a cold, so please forgive my voice.

1:19.2

It'll sound a little different when I talk to you than when you hear me in conversation

1:23.8

with our guests.

1:25.1

First, Dr. Michael Brett-Hauer, the lead author of this new colonoscopy study, will tell

...

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