Curbside Consultation of the Colon: 49 Clinical Questions

Brooks D. Cash, MD, FACP, CDR, MC, USN

Question 1: A 46-Year-Old African American Man Who Has No Alarm Features Or Symptoms Requests A Screening Colonoscopy. Is This Appropriate? (continued)

Jason Taylor, MD; Philip Schoenfeld, MD, MSEd, MSc (Epi)

Colonoscopy is the gold standard screening tool for colorectal cancer, and it is offered routinely to average risk individuals older than 50 years. However, there has been an ongoing debate about whether this standard recommendation should be altered for African Americans, with colonoscopy offered to average-risk African Americans older than 45 years.1 The issue remains controversial with data to support and refute this recommendation. The impetus for this debate began in the 1990s when data identified race related variability in colorectal cancer incidence and survival. The debate…
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