Westra epidemiology <<<3 Flashcards
Colorectal cancer is the third most common malignant neoplasm for men and women in the US
that’s a stat
%5 of people get it
What population has an increased prevalence of butt cancer
the blacks
natives actullaly have a decreased prevalence, good job
What is primary prevention?
Prevent disease from happeneing
What primary prevention can decrease the incidence of butt cancer?
Diet/exercise asa, nsaids vit D hormone replacement therapy statins
What is secondary prevention?
screening for disease to prevent it from progressing.
Westra says removing polyps is secondary prevention so they don’t progress. is that actually secondary prevention?
No, it’s tertiary. but whatever westra.
At what age do you start looking for colon cancer
50, unless it’s an african american male, then it’s 45
When do you stop scoping for colon cancer?
75
What things can you do other than colonoscopy
fecal stool occult test barium enema flex scope pill cam dna testing
Why is cologuard bae?
it tests for DNA changes AND blood
it’s now covered by medicare/caid
Reasons people don’t like colonoscopys
low awareness that CRC is bad time cost fear access doctors not telling them the prep sucks
Risk factors for CRC
age over 50
UC or Chron’s
other Cancer history
relatives w/ CRC
What are the chances you get CRC with no risk factors
well, 75% of CRC is ppl w/ no risk. So there’s that
HNPCC (lynch) screening start at what age? how often?
20-25
every 2 years
What kind of thing suggest you should get scoped?
change in bowel movements rectal bleeding positive stool test abdominal pain anemia weight loss
