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Because benefits of colorectal cancer screening take 10 to 15 years to accrue, screening is not recommended for people with life expectancy <10 years; thus, the U.S. Preventive Services Task Force recommends individualized screening from age 76 through 85 (NEJM JW Gen Med Jun 15 2021 and JAMA 2021; 325:1965, 1978). In this study from the Cleveland Clinic, researchers determined the number and outcomes of screening colonoscopies performed on 7067 older patients (age, ≥75; median age, 78).
The following findings were notable:
The proportions of colonoscopies performed on patients with life expectancy <10 years (based on comorbid conditions) were 30%, 71%, and 100% for patients who were 76 to 80, 81 to 85, and older than 85, respectively.
Detecti…