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A citywide colon cancer control coalition can increase colorectal cancer screening and address health disparities

Citywide Colon Cancer Control Coalition Ups Screening in NYC

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Efforts of coalition increased screening colonoscopy from 42 percent in 2003 to almost 70 percent in 2014
Carbon dioxide insufflation during colonoscopy is associated with reduced post-colonoscopy abdominal discomfort and improved patient satisfaction

CO2 Insufflation Beneficial During Colonoscopy

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Reduced post-colonoscopy abdominal discomfort; more patients pain-, distention-free
The U.S. Preventive Services Task Force (USPSTF) recommends colorectal cancer screening starting at age 50 years and continuing through age 75 years. These findings form the basis of a draft recommendation statement

USPSTF Recommends CRC Screening for 50- to 75-Year-Olds

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Grade A recommendation for 50- to 75-year-olds; individualized decision urged for those age 76 to 85
Blood pressure medications may raise the risk of colorectal polyps

Risk of Colorectal Polyps Tied to Blood Pressure Medications

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Risk increases with the number of antihypertensive drugs taken
A diet of low-residue white foods the day before outpatient colonoscopies is preferred by patients over clear-fluid diets and does not negatively impact bowel preparation success or colonoscopy performance

‘White Diets’ Don’t Adversely Affect Colonoscopy Preparation

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No negative impact on bowel prep success compared with clear-liquid diets
Implementation of reference payment for colonoscopy can reduce spending with no significant impact on complications

Reference Payment Reduces Spending on Colonoscopy

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Implementation of reference payment cuts spending with no significant impact on complications
For elderly adults diagnosed with non-Hodgkin's lymphoma

Endoscopic Evaluation Advised in Non-Hodgkin’s Lymphoma

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Report of elderly man with mantle cell lymphoma in addition to diffuse large B-cell lymphoma
Longer colonoscopy withdrawal time is associated with lower risk for colorectal cancer over five years

Longer Colonoscopy Withdrawal Time May Cut Cancer Risk

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Viewing time of less than six minutes linked to higher cancer rates
Split-dose regimens increase the quality of colon cleansing compared to day-before colonoscopy preparation

Split-Dose Better Than Day-Before Colonoscopy Prep

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Patients also prefer split-dose regimens for bowel cleansing
The Affordable Care Act may have helped boost rates of colorectal cancer screening among lower income Americans

Rise in CRC Screening Rates After ACA Implementation

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Increase in colonoscopy, other tests typically seen among poorer, less educated Americans