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Effekten ved primaer koloskopi versus kontrolkoloskopi i kolorektal cancer-screening
Engelsk titel: The effect of primary colonoscopy versus follow-up colonoscopy in screening for colorectal cancer Läs online Författare: Kröijer, Rasmus ; Baatrup, Gunnar Språk: Dan Antal referenser: 15 Dokumenttyp: Översikt UI-nummer: 19110079

Tidskrift

Ugeskrift for Laeger 2019;181(14)1312-4 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Balancing indications for primary and follow-up colonoscopy in screening is important. In the lowest faecal test positive range of 100-150 ng/ml the rate of cancer is 1.9%, and the rate of intermediate and high-risk adenomas is 16.7%. International studies suggest, that only selected groups have comparable rates of significant findings at follow-up, and the risk normalises after one colonoscopy. In this review it is found, that in the current Danish screening programme for colon cancer the indications of primary screening and follow-up colonoscopy seem to be off-balance, but no national data exist on follow-up.