Author: Praveen Suthrum

Performing a colonoscopy after a positive fecal immunochemical test can improve patient outcomes, according to a study published in the journal Gut. A fecal immunochemical test-based colorectal cancer screening program in Italy invited people ages 50 to 69 with a positive test and provided them with a diagnostic colonoscopy. The study, published March 31, compared the 10-year cumulative colorectal cancer incidence and mortality among those with positive fecal immunochemical tests who completed a diagnostic colonoscopy within the program and those who did not. The study used the Kaplan-Meier estimator and Cox-Aalen models.

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After the screening age for colonoscopy was lowered in colorectal cancer (CRC) guidelines, younger people were more likely to undergo the procedure, researchers found. Among people ages 45 to 49, first-time screening rates increased from 3.5% in the period before guidelines were changed to 11.6% after they were updated (relative rate [RR] 3.36, 95% CI 2.45-4.61), reported Uri Ladabaum, MD, MS, of Stanford University School of Medicine in Redwood City, California, and colleagues in Clinical Gastroenterology and Hepatology.

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Alaska is the best state for gastroenterologists to live and work in 2022 while California is the worst, according to career website Zippia. Zippia examined each state and Washington, D.C., and ranked them using gastroenterologists’ median salary, as well as each state’s cost of living location quotient, a measurement created by the U.S. Bureau of Labor Statistics. Read more about the methodology here.

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Among young adults with advanced neoplasia at baseline and follow-up colonoscopy, increasing age, being exposed to tobacco, and high-risk indications for colonoscopy, such as rectal bleeding or rectal mass, were associated with early-onset colorectal neoplasia, according to study results presented at Digestive Disease Week (DDW), held from May 21 to 24, 2022, in San Diego, California, and virtually.

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