Colorectal cancer screening can save lives – so why don’t more Canadians do it?

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  1. Anne-Marie Tynan

    Great article: well-written and clear and provides good information on the screening changes to come (FIT).

  2. Ann Silversides

    Very glad to see this informative article. I had recently asked my family doc if he knew about the uptake of the FOBT test (I am in Ontario) because it is a drag to do it (smearing bits of stool on a card three days in a row), and anyone the least bit squeamish would likely (I think) avoid it. I’m glad to hear Ontario will be changing to a more sensitive, more user friendly test and I hope family docs will underscore the changeover when it happens, along with encouraging patients to do the test.

  3. Stephen Roedde

    An interesting article. Little has changed since the first trials of FOB screening were published.
    Several comments.
    1. Because of high positivity rates, these trials were essentially inadequate trials of colonoscopy (with scope rates of ~30%).

    2. Further, the move to pay physicians financial bonuses for every patient undergoing screening (or for reaching screening “targets”, removes physician objectivity, encourages paternalistic care and ensures that reasoned education and patient autonomy and free choice be less likely to occur.

    3. Although I agree that “compliance rates” can be increased by evengelical sales-jobs, it is my view that this approach is just wrong.
    It is patients that face the risks, it is patients that reap the benefits.

    4. In my practice, beginning over 20 years ago, I prepared handouts for patients… with clear, dispassionate presentation of risks/benefits… expressed as both absolute and relative risks. Further, I worked very hard to explain these concepts. I suspect the “uptake” of screening was lower in my practice than anywhere in the country…
    As is typically the case, patients often make different choices than
    We “think they should”, whether it’s in the ER with undifferentiated chest pain, or screening for a disease that is “preventable”.
    I’m not sure we should be either surprised, or work to change this… but rather to understand why it occurs.

  4. Isabel Portillo

    I think it is needed to talk about cancer in social media, worplaces, and media. Prevention is cheaper than treatment for health system, society, families and persons

  5. Sandra Jewell

    I would like to know if you think Virtual Colonoscopies are worthwhile, especially to those who may be concerned about bowel perforation during regular colonoscopies. Thank you.

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