December 14, 2006

Study Questions Colonoscopy Effectiveness - New York Times

Study Questions Colonoscopy Effectiveness

Sad news about poor medical quality for a common, yet expensive procedure touted as so good that everyone over 50 should have one periodically. I must remember to ask my physician about his sucess rate in finding and removing polyps. As I recall, the whole procedure can be recorded on video. Perhaps that should be standard procedure and shared with patients, their Primary Care Physicians and insurers.

Last spring, a task force for the American College of Gastroenterology and the American Society for Gastrointestinal Endoscopy recommended that doctors
track their polyp-detection rate. On average, they should find precancerous polyps in at least 25 percent of men and 15 percent of women 50 and older.

But most have not adopted the recommendation.

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