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David G. Hewett, Charles J. Kahi and Douglas K. Rex

examining the use of colonoscopy after adenoma removal • Identify the anatomic area for which colonoscopy screening is least effective • List reasons why colonoscopy may not be effective in detecting lesions and means to improve the quality of

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Melissa Magrath, Edward Yang, Chul Ahn, Christian A. Mayorga, Purva Gopal, Caitlin C. Murphy, Samir Gupta, Deepak Agrawal, Ethan A. Halm, Eric K. Borton, Celette Sugg Skinner and Amit G. Singal

Colorectal cancer (CRC) screening can reduce CRC incidence and mortality. 1 Although CRC screening can be performed using stool-based methods or colonoscopy, many US providers prefer colonoscopy because it is both diagnostic and therapeutic

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Mariam Naveed, Meredith Clary, Chul Ahn, Nisa Kubiliun, Deepak Agrawal, Byron Cryer, Caitlin Murphy and Amit G. Singal

Background Over the past decade, colonoscopy use has increased dramatically in the United States. This is partly related to increasing uptake of colorectal cancer (CRC) screening examinations, but colonoscopy is often performed for other

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Randall W. Burt, James S. Barthel, Kelli Bullard Dunn, Donald S. David, Ernesto Drelichman, James M. Ford, Francis M. Giardiello, Stephen B. Gruber, Amy L. Halverson, Stanley R. Hamilton, Mohammad K. Ismail, Kory Jasperson, Audrey J. Lazenby, Patrick M. Lynch, Edward W. Martin Jr., Robert J. Mayer, Reid M. Ness, Dawn Provenzale, M. Sambasiva Rao, Moshe Shike, Gideon Steinbach, Jonathan P. Terdiman and David Weinberg

consent and sedation, and have related risks, including perforation and bleeding. Recently, a large cohort study of 53,220 Medicare patients between ages 66 and 95 years showed that risk for adverse events after colonoscopy increases with age. 3

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Elizabeth A. Rohan, Beth Slotman, Amy DeGroff, Kerry Grace Morrissey, Jennifer Murillo and Paul Schroy

colonoscopy screening in a medically disadvantaged population Ascertain PN intervention activities during colonoscopy screening most valued by patients that potentially improve patient outcomes Background Oncology patient navigation (PN) is

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Dawn Provenzale, Kory Jasperson, Dennis J. Ahnen, Harry Aslanian, Travis Bray, Jamie A. Cannon, Donald S. David, Dayna S. Early, Deborah Erwin, James M. Ford, Francis M. Giardiello, Samir Gupta, Amy L. Halverson, Stanley R. Hamilton, Heather Hampel, Mohammad K. Ismail, Jason B. Klapman, David W. Larson, Audrey J. Lazenby, Patrick M. Lynch, Robert J. Mayer, Reid M. Ness, M. Sambasiva Rao, Scott E. Regenbogen, Moshe Shike, Gideon Steinbach, David Weinberg, Mary A. Dwyer, Deborah A. Freedman-Cass and Susan Darlow

Nurses' Health Study and the Health Professionals Follow-Up Study showed that death from CRC was reduced after flexible sigmoidoscopy (hazard ratio [HR], 0.59; 95% CI, 0.45–0.76) and colonoscopy (HR, 0.32; 95% CI, NCCN Guidelines Insights

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Minhhuyen T. Nguyen and David S. Weinberg

at an earlier stage than those detected mainly by symptoms. Various screening strategies, including fecal occult blood testing (FOBT), sigmoidoscopy, or colonoscopy, reduce CRC incidence by 52% to 81% and mortality by 65% to 84%. 2 Screen

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Randall W. Burt

), every-5-year 60-cm flexible sigmoidoscopy, and every-10-year colonoscopy, although societies differ somewhat regarding specifics. 3 More aggressive screening strategies are also considered appropriate for certain sub-populations who have an increased

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Jonathan Potack and Steven H. Itzkowitz

that provide images of the colon through either endoscopic (colonoscopy, flexible sigmoidoscopy) or radiographic (air contrast barium enema, CT colonography) means, or noninvasive stool-based tests. Over the past decade, colonoscopy has become a popular

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Dayna Crawford, Brook Blackmore, Jeremy Ortega and Erica Williams

process. Objectives: The goal was to increase early stage I/II patients’ knowledge of their cancer and convey the importance of compliance with follow-up care, such as repeat colonoscopy as recommended by their physician and NCCN Guidelines. Methods