Thursday, March 06, 2008

New policy includes virtual colonoscopies

The American Cancer Society and other health groups are recommending two tests they had not previously endorsed to prevent or detect colorectal cancer. The new policy is based on evidence that the tests work well enough to recommend and applies to all adults 50 and older and to some younger people with symptoms or risk factors for colon cancer. One test is virtual colonoscopy, which uses a CT scan to look for abnormal growths and, unlike the standard colonoscopy, does not require inserting a camera-tipped tube rectally. The other test examines stool to find abnormal DNA associated with cancer and requires an entire bowel movement be packed in a kit and sent to a laboratory. The tests are now part of a list of seven testing options from which people can choose. The medical groups are providing as many options as possible, they say, hoping patients find one acceptable.

Right now, most insurers do not cover virtual colonoscopy, which she said costs $1,200 to $1,500. It is uncertain whether the new guidelines will lead to coverage changes. The group also notes that none of the seven tests are perfect.

Bonnie - please do not let your physician tell you that a virtual colonoscopy is worthless. You have the data now to defend your position.

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