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The U.S. Preventive Services Task Force specifically recommends that patients aged 85 years and older should not undergo colorectal cancer screening and that the decision regarding screening should be individualized in patients aged 75 to 85 years. The U.S. Multi-Society Task Force on Colorectal Cancer guideline also indicates that patients with life expectancy of less than 10 years should not undergo screening.
To estimate the frequency of screening colonoscopy in people with low life expectancy, investigators analyzed data from a 5% random national sample of U.S. Medicare claims. They identified 57,597 Medicare beneficiaries (age ≥66 years) at average risk for colorectal cancer who underwent screening colonoscopy between 2008 and 2010. The…