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Screening
every two years with fecal occult blood testing reduces the rate
of death from colorectal cancer, according to researchers from
Odense University Hospital in Denmark.
Researchers
looked at 30,967 residents of Funen, Denmark, ages 45 to 75, who
were randomly selected in 1985 to be screened every two years
with Hemoccult-II. They compared results to a control group of
30,966 residents.
A total of
7 screening rounds were completed. Participants were given a colonoscopy
if their test was positive.
Mortality
from colorectal cancer was significantly less in the screening
group and the reduction in mortality was most significant above
the sigmoid colon, the researchers reported in the journal Gut.
Participants
who did not participate in the screenings had a significantly
increased risk of death from colorectal cancer compared to those
who took part in the full program, the researchers said.
"The persistent
reduction in mortality from colorectal cancer in a biennial screening
program with Hemoccult-II, and a reduction in risk ratio to less
than 0.70 in those adhering to the program, support attempts to
introduce larger scale population screening programs," wrote the
researchers.
"The smaller
effect on mortality from colorectal cancer in the rectum and sigmoid
colon suggests evaluation by additional flexible sigmoidoscopy
with longer intervals."
Other
Sources:Gut
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