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The prevalence of colorectal cancer screening is lowest among adults aged 50 to 54 years

Prevalence of CRC Screening Lowest in Adults Aged 50 to 54

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Colorectal cancer screening prevalence 50.0 percent among those aged 50 to 54, increases with age
The risk for colorectal cancer death drops with an increasing number of prediagnostic colonoscopies

Prediagnostic Colonoscopy Cuts Colorectal Cancer Death Risk

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Mortality risk drops 17 percent with one colonoscopy before diagnosis, 45 percent with three colonoscopies
The cost per colonoscopy

Costs of Reusable Colonoscopes Vary Based on Center Volume

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Cost per colonoscopy ranges from $188.64 at high-volume centers to $501.16 at low-volume centers
From 2000 to 2015

Colonoscopy Rates Increased in Those Aged 45 to 54 Years

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However, 2000 to 2015 saw increased colorectal cancer incidence for ages 40 to 54
Among patients at average risk undergoing screening colonoscopies

Colonoscopy Quality Not Affected by Sedation Method

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No difference found in adenoma or polyp detection rates between moderate and deep sedation
Starting colorectal cancer screening at age 45 instead of 50 years seems cost-effective

Starting Colorectal Cancer Screening at Age 45 Years Is Cost-Effective

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But increasing participation for unscreened older adults would yield greater benefits at lower costs
In patients without broad-definition anemia and/or abdominal mass

Anemia Criteria Assist Decision on Type of Colorectal Cancer Screen

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Risk for proximal cancers low among patients without broad-definition anemia and/or abdominal mass
For average-risk patients

Long-Term Reduction in CRC Risk After Negative Colonoscopy

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At 10-year rescreening interval, risks for colorectal cancer and related deaths significantly reduced
Many veterans have strong preferences against colorectal cancer screening cessation even when provided with information about the potential low benefit of screening

Many Veterans Oppose Cessation of Colorectal Cancer Screening

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More than one-quarter of those surveyed not comfortable with stopping low-value screening
Many patients with three or more adenomas or any adenoma with villous/tubulovillous features do not receive a subsequent colonoscopy within 3.5 years

Colonoscopy Receipt Varies After Advanced Adenoma Diagnosis

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Percent of patients receiving subsequent colonoscopy within 3.5 years varies from 18.3 to 59.5 percent