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Medgeeks Clinical Review Podcast

PA Boards 89: Colon Cancer Screening

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7989 Ratings

🗓️ 19 August 2016

⏱️ 8 minutes

🧾️ Download transcript

Summary

Here are the updated USPSTF guidelines - there are now 7 options which are recommended to screen for colon cancer.

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Transcript

Click on a timestamp to play from that location

0:00.0

All right, guys. So today's lecture is going to focus on colon cancer screening.

0:07.0

Now, colon cancer screening is, you know, kind of a touchy subject. a lot of patients are reluctant to actually

0:15.4

get colon cancer screening because they only feel like we have one option

0:19.3

available the colonoscopy now I'll be the first to tell you colonoscopy is probably the best

0:24.3

test to screen for colon cancer but there are other options. In fact the USPSTF recently announced in this month, June 2016, they announced four additional

0:36.6

options for colon cancer screening. So as of right now we have seven different options

0:41.6

you know that we can offer patients now still by far in my

0:45.7

opinion the colonoscopy is going to be the best screening tool that we have

0:49.3

available but it's up to you to educate your patients it's up to you to inform them

0:53.8

because ultimately this is you know kind of one of those shared decision models

0:57.6

now the USPSTF is really advocating any screening they don't really care what you offer your

1:04.7

patients so long as you offer an option that they were willing to do.

1:08.6

Because as of right now there's only about 60% of those that require colon cancer screening are actually

1:16.2

being screened.

1:17.2

So they have this, the USPSTF has this lofty goal to actually get 80% of patients.

1:24.1

So those that are supposed to be screened,

1:26.4

we have a goal of 80% to screen by 2018.

1:31.2

So what are the options, right? Well well colon cancer screening really starts at each 50 and we go to 75 years of age so long as we have a 10 year life expectancy

1:42.0

We have three original options which you're aware of. We have the colonoscopy,

1:46.3

sigmoidoscopy, and we have fecal occult testing, which is guiactyl testing for occult

1:51.1

blood. Now colonoscopy, right's got the best sensitivity it's got the best

1:56.0

specificity but the problem is it's invasive the problem is the fear a lot of

...

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