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CLINICIAN'S CORNER
A 71-Year-Old Woman Contemplating a Screening Colonoscopy
William C. Taylor, MD, Discussant
JAMA. 2006;295:1161-1167.
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INTRODUCTION
DR BURNS: Ms G is a 71-year-old woman with a past medical history of osteoporosis, mitral valve prolapse, mild rheumatoid arthritis, and hypothyroidism. She has Medicare. Ms G is trying to decide whether to undergo a colonoscopy to screen for colon cancer.
Ms G is currently feeling well and has no active medical issues. Ms G's physician has encouraged her to have a colonoscopy, but she remains reluctant to proceed for 3 reasons. First, she has had adverse reactions to anesthetic agents in the past and is concerned about a potential reaction to the agents that would be used for a colonoscopy. Second, she is concerned about needing transportation home after receiving a sedative because her husband has driving restrictions. Third, she is unsure about the importance of colonoscopy given her negative family history of colon cancer. In addition, she . . . [Full Text of this Article]
MS G: HER VIEW
DR L, MS G's PRIMARY CARE PHYSICIAN: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR TAYLOR
Epidemiology of Colon Cancer Pathophysiology of Colon Cancer Evidence Supporting Screening for Colon Cancer Effectiveness, Accuracy, and Adverse Effects of Screening Tests for Colon Cancer Screening Patients Older Than 65 Years
RECOMMENDATIONS FOR MS G
Future Directions
QUESTIONS AND DISCUSSION
AUTHOR INFORMATION
Author Affiliation: Dr Taylor is Associate Professor of Medicine, Harvard Medical School, and Senior Physician, Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Mass.
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