4.7 • 989 Ratings
🗓️ 19 August 2016
⏱️ 8 minutes
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Here are the updated USPSTF guidelines - there are now 7 options which are recommended to screen for colon cancer.
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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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