March 12, 2015
By Richard Wender, MD
We have made amazing progress in reducing colon cancer death rates. This progress is a direct result of increasing screening for colon cancer and pre-cancerous polyps. We are actually preventing thousands of cancers by finding and removing pre-cancerous polyps. The nation has embraced the goal of increasing national screening rates to 80% by the end of 2018 - an achievement that will substantially reduce the terrible toll that colon cancer exacts every year. Everyone is at risk for colon cancer, whether or not someone in your family has ever had a colon polyp or colon cancer. For that reason, everyone has to start being screened for colon cancer at age 50, and people with inflammatory bowel disease or a family history of colon cancer or polyps have to start before they reach age 50. Colon cancer screening is one of the best opportunities to prevent cancer that we've ever discovered.
Despite this compelling reason to be screened, many people either have never had a colon cancer screening test or are not up-to-date with screening. Interestingly, nearly all of these unscreened people know that they should be screened, In fact, awareness about colon cancer screening recommendations approaches 100%. The American Cancer Society asked more than 2,000 unscreened adults a series of questions about screening, and we now have a pretty clear idea about what's stopping people from taking that lifesaving step:
- Some people are concerned about the cost of the test
- Others have heard that the test is difficult or painful, and they may be embarrassed to discuss colon cancer screening
- Some people think screening is only for those who have symptoms
- Others think that having no family history of colon cancer means that they are not at risk and don't have to be screened
Finally, and perhaps most importantly, many people are concerned about the complexity and cost of having a colonoscopy, like the need to take time off from work, the need to have a ride home, and the potential for high out-of-pocket expenses, which all combine to discourage them from having a colonoscopy. More...
March 12, 2014
By Richard C. Wender, MD
About a year ago, U.S. Assistant Secretary for Health Howard Koh, MD, invited a small group of people to his office to discuss the opportunity for the nation to start a full court press to end colorectal (colon) cancer as a major public health problem in the United States. The meeting idea came from a conversation on his back porch with his college friend Ron Vender, MD, who had just been elected President of the American College of Gastroenterology (ACG). Howard asked Ron how he could most effectively work with the ACG and, together, they decided that it was the right time to tackle colon cancer in a big way.
Dr. Koh invited leaders of the organizations that were at the center of public health efforts to increase colon cancer screening rates to attend the meeting. Screening is looking for cancer in people who have no symptoms of the disease. In the case of colon cancer, screening can find the disease at an early, more treatable stage, and it can also prevent it altogether. This is because colon cancer screening tests often find polyps, which can then be removed before they have a chance to become cancerous.
Leaders from the American Cancer Society and Centers for Disease Control and Prevention (CDC) were joined by leaders of several other vital governmental agencies, gastroenterologist organizations, and the National Colorectal Cancer Roundtable (NCCRT). The NCCRT is an organization co-founded 17 years ago by the American Cancer Society and CDC. Today, the NCCRT brings together close to 80 organizations with a single common goal: to increase colon cancer screening rates, our most effective way to fight the disease. The key to the NCCRT's success has been its commitment to joining diverse organizations as equal stakeholders, to do the kind of work that no one organization can accomplish alone. It's a great example of public health in action. More...