Men: Screening Exams by Age

Total Page：16

File Type：pdf, Size：1020Kb

Men: Screening exams by age Ages 40-49 Take this checklist to Beginning at age 40, you should speak with your next doctor your health care provider about the benefits appointment. and limitations of prostate screening. If you choose prostate cancer screening, Your doctor can help you should get a digital rectal exam and you develop a more PSA test every year beginning at age 45 to tailored screening check for prostate cancer if you are African plan if needed. American or have a family history (father, brother, son) of prostate cancer. Ages 50 and older Ask your doctor about cancer screening exams If you choose prostate cancer screening, you for those at increased risk should get a digital rectal exam and PSA for lung and skin cancers. test every year to check for prostate cancer. Colonoscopy every 10 years or virtual colonoscopy every five years to check for colorectal cancer. If you’re age 76 to 85, your doctor can help you decide if you should continue screening. MD Anderson does not recommend screening after age 85. Regardless of your age, practice awareness. This means you should be familiar with your body so that you will notice changes and report them to your doctor without delay. Schedule your screening exam at MD Anderson’s Cancer Prevention Center. Call 713-745-8040 to make your appointment. If you believe you may be more likely to develop cancer because of your personal or family medical history, visit www.mdanderson.org/screeningguidelines to learn about exams for men at increased risk. ©Public Education Office • 713-792-3363 • August 2013.

Copy Link

Recommended publications

Table 1 Table 2 Table 3 Table 4 Colonoscopy-Related Costs
Digestive Health Network, Inc. List of Tables Top 10 Physician Specialties Performing Colonoscopies, Medicare Fee-for- Table 1 Service, 2015 Colonoscopy-related Costs, Medicare Fee-for-Service Beneficiaries who Table 2 Received a Screening or Diagnostic Colonoscopy, 2015 Colonoscopy-related Costs, Medicare Fee-for-Service Beneficiaries who Table 3 Received a Colonoscopy in an Ambulatory Surgical Center (ASC), Hospital Outpatient Department, or Physician Office, 2015 Proportion of Medicare Fee-for-Service Medicare Beneficiaries who Received Table 4 a Colonoscopy and were Treated in the Emergency Department within 7 Days of the procedure, 2015 Digestive Health Network, Inc. Responses to Questions Among Medicare beneficiaries, how many colonoscopies are performed in the US, by type of Q1 physician? Nearly 2 million screening and diagnostic colonoscopies were performed in 2015. Of these, over 78% were performed by a gastroenterologist. Nearly 10% were performed by a general surgeon and about 6% were performed by an internal medicine specialist. These results are shown in Table 1. Q2 What proportion of spending on colonoscopies is accounted for by physician services? In 2015, Medicare expenditures associated with colonoscopies totaled over $1.3 billion. (This excludes anesthesiology, pathology, radiology, and other costs identified in Table 2.) Approximately 31% of this amount, or $416 million was associated with professional fees. Q3 What share of Part B Medicare spending is accounted for by colonoscopies? Medicare Part B expenditures in 2015 totaled over $131 billion (data not shown). Colonoscopy costs accounted for approximately 1.03% of this total. Q4 What are the costs associated with colonoscopies for the different settings of care? Costs associated with colonoscopies in ambulatory surgical centers (ASC), hospital outpatient departments (HOPD), and physician offices are shown in Table 3.
[Show full text]
Utility of the Digital Rectal Examination in the Emergency Department: a Review
The Journal of Emergency Medicine, Vol. 43, No. 6, pp. 1196–1204, 2012 Published by Elsevier Inc. Printed in the USA 0736-4679/$ - see front matter http://dx.doi.org/10.1016/j.jemermed.2012.06.015 Clinical Reviews UTILITY OF THE DIGITAL RECTAL EXAMINATION IN THE EMERGENCY DEPARTMENT: A REVIEW Chad Kessler, MD, MHPE*† and Stephen J. Bauer, MD† *Department of Emergency Medicine, Jesse Brown VA Medical Center and †University of Illinois-Chicago College of Medicine, Chicago, Illinois Reprint Address: Chad Kessler, MD, MHPE, Department of Emergency Medicine, Jesse Brown Veterans Hospital, 820 S Damen Ave., M/C 111, Chicago, IL 60612 , Abstract—Background: The digital rectal examination abdominal pain and acute appendicitis. Stool obtained by (DRE) has been reﬂexively performed to evaluate common DRE doesn’t seem to increase the false-positive rate of chief complaints in the Emergency Department without FOBTs, and the DRE correlated moderately well with anal knowing its true utility in diagnosis. Objective: Medical lit- manometric measurements in determining anal sphincter erature databases were searched for the most relevant arti- tone. Published by Elsevier Inc. cles pertaining to: the utility of the DRE in evaluating abdominal pain and acute appendicitis, the false-positive , Keywords—digital rectal; utility; review; Emergency rate of fecal occult blood tests (FOBT) from stool obtained Department; evidence-based medicine by DRE or spontaneous passage, and the correlation be- tween DRE and anal manometry in determining anal tone. Discussion: Sixteen articles met our inclusion criteria; there INTRODUCTION were two for abdominal pain, ﬁve for appendicitis, six for anal tone, and three for fecal occult blood.
[Show full text]
High Resolution Anoscopy Overview
High Resolution Anoscopy Overview Naomi Jay, RN, NP, PhD University of California San Francisco Email: [email protected] Disclosures No Disclosures Definition of HRA Examination of the anus, anal canal and perianus using a colposcope with 5% acetic acid and Lugol’s solution. Basic Principles • Office-based procedure • Adapted from gynecologic colposcopy. • Validated for anal canal. • Similar terminology and descriptors. may be unfamiliar to non-gyn providers. • Comparable to vaginal and vulvar colposcopy. • Clinicians familiar with cervical colposcopy may be surprised by the difficult transition. Anal SCJ & AnTZ • Original vs. current SCJ less relevant. • TZ features less common, therefore more difficult to appreciate. • SCJ more subtle, difficult to see in entirety requires more manipulation & acetic acid. • Larger area of metaplastic changes overlying columnar epithelium compared to endocervix. • Most lesions found in the AnTZ. Atypical Metaplasia • Atypical metaplasia may indicate the presence of HSIL. • Radiate over distal rectum from SCJ. • Thin, may wipe off. • Features to look for indicating potential lesions: • Atypical clustered glands (ACG) • Lacy metaplastic borders (LM) • Epithelial Honeycombing (EH) Lugol’s. Staining • More utility in anus compared to cervix. • Adjunctive to help define borders, distinguish between possible LSIL/HSIL. • Most HSIL will be Lugol’s negative • LSIL may be Lugol’s partial or negative • Applied focally with small cotton swabs to better define an acetowhite lesion. •NOT a short cut to determine presence or absence of lesions, acetic acid is used first and is applied frequently. Anal vs. Cervical Characteristics • Punctation & Mosaic rarely “fine” mostly “coarse”. • Mosaic pattern mostly associated with HSIL. • Atypical vessels may be HSIL or cancer • Epithelial honeycombing & lacy metaplasia unique anal descriptors.
[Show full text]
Combined Endo-Laparoscopic Surgery for Difficult Benign Colorectal Polyps
485 Review Article (Current Strategies in Colon Cancer Management) Combined endo-laparoscopic surgery for difficult benign colorectal polyps Zhong-Hui Liu1, Li Jiang1, Fion Siu-Yin Chan1,2, Michael Ka-Wah Li3, Joe King-Man Fan1,2,3 1Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518053, China; 2Department of Surgery, The University of Hong Kong, Hong Kong, China; 3Asia-Pacific Endo-Lap Surgery Group (APELS), Hong Kong, China Contributions: (I) Conception and design: JKM Fan, MKW Li; (II) Administrative support: MKW Li; (III) Provision of study materials or patients: FSY Chan; (IV) Collection and assembly of data: ZH Liu, L Jiang; (V) Data analysis and interpretation: ZH Liu; FSY Chan; JKM Fan; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Joe King-Man Fan, MBBS (HK), MS (HKU), FRCSEd, FACS. Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518053, China. Email: [email protected]. Abstract: Prevention of colorectal cancer (CRC) depends largely on the detection and removal of colorectal polyps. Despite the advances in endoscopic techniques, there are still a subgroup of polyps that cannot be treated purely by endoscopic approach, which comprise of about 10–15% of all the polyps. These so-called “difficult colorectal polyps” are polyps with large size, morphology, at difficult location, scarring or due to recurrence, which have historically been managed by surgical segmental resection. In treating benign difficult colorectal polyps, we have to balance the operative risks and morbidities associated with surgical segmental resection. Therefore, combined endoscopic and laparoscopic surgery (CELS) has been developed to remove this subgroup of difficult benign polyps.
[Show full text]
Hybrid Procedure Offers a Less Invasive Alternative to Colectomy
The better way to get better Hybrid procedure offers a less invasive alternative to colectomy Insufflation gas provides important advantage The colonoscopy-laparoscopy procedure is made possible through the combined skills of the gastroenterologist and laparoscopic surgeon, and the use of CO2 rather than ambient air for insufflation — the introduction of gas into the colon to improve visibility. CO2 is more quickly absorbed by the gastrointestinal tract and results in less bowel distension, giving the laparoscopic surgeon a better field of vision within the abdominal cavity. © Copyright Olympus. Used with permission. “Some patients who would have required a bowel resection can instead benefit from this A new, minimally invasive procedure that is a hybrid of colonoscopy and less invasive procedure. We’re laparoscopy is proving to be a safe and effective alternative to open colectomy using this combined technique (removal of part of the colon) for patients with benign colon polyps that are as a way for patients to avoid colectomy,” explains James not removable endoscopically. Yoo, M.D., a colorectal surgeon Patients who undergo this hybrid procedure experience less pain and often go at UCLA. “This procedure home after only one or two days. Scarring and wound complications are minimal involves tiny incisions for the as the laparoscopic surgeon makes only small, keyhole incisions in the abdomen laparoscopic instruments and patients stay in the hospital only rather than the long incision characteristic of a traditional colectomy. a day or two.” WWW.UCLAHEALTH.ORG 1-800-UCLA-MD1 (1-800-825-2631) Who can benefit from the procedure? Participating When a routine colonoscopy reveals polyps, they are usually removed at the Physicians time of the procedure as a precaution against their progression to cancer.
[Show full text]
Is Your Practice Ready for ICD-10?
Practice Management Is Your Practice Ready for ICD-10? Christopher Y Kim, MD, MBA, FASGE Kathleen A Mueller, RN, CPC, CGCS, CCS-P, CMSCS, PCS, CCC November 2013 The current version of diagnosis codes used in the United States since 1979 is formally known as the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Volumes 1 and 2. Volume 3 is also used in Hospitals to record inpatient procedures. The ICD was developed by the World Health Organization (WHO) and is maintained in the US by the National Center for Health and Vital Statistics (NCHS), with the Centers for Disease Prevention and Control (CDC), under the US Department of Health and Human Services (HHS). The Tenth Revision of ICD, also known as ICD-10-CM, will debut on October 1, 2014. Essentially overnight, the new codes will be required on services from that date going forward, and payers will no longer accept ICD-9 codes. Physician offices have just a little under a year to prepare for the transition to the ICD-10-CM diagnosis code sets. For years, HHS has been pushing to adopt the updated ICD-10 code standard that was endorsed by the WHO in 1990, and whose adoption was relatively swift in most of the world with the notable exception of the United States. Reasons given by HHS for adopting ICD-10 include: • ICD-9 is outdated with only a limited ability to accommodate new procedures and diagnoses. • ICD-9 lacks specificity and detail, uses terminology inconsistently, cannot capture new technology and lacks codes for preventive services; other alleged benefits: o ICD-10, with its increased specificity, will accurately label someone with the correct disease, sign/symptoms, or problem, as well as support the level of service provided.
[Show full text]
How to Prepare for Your Colonoscopy Using Miralax
PATIENT & CAREGIVER EDUCATION How to Prepare for Your Colonoscopy Using MiraLAX This information will help you prepare for your colonoscopy using polyethylene glycol (MiraLAX®) at Memorial Sloan Kettering (MSK). A colonoscopy is an exam of the entire colon (large intestine). Your doctor will use a flexible tube called a colonoscope to see the inside of your colon on a video monitor. During the procedure, your doctor can remove a small sample of tissue (biopsy) for testing, remove a polyp (growth of tissue), and take photos of the inside of your colon. Follow these instructions carefully. It is very important that your colon is empty for your colonoscopy. If there is stool inside your colon, your doctor may not be able to see polyps or other problems inside your colon and you may have to repeat the procedure. If you have any questions, contact your doctor's office. 1 Week Before Your Procedure Ask about your medications You may need to stop taking or change the dose of some of your medications before your procedure. We have included some common examples below. If you take medication to thin your blood, such as to treat blood clots or to prevent a heart attack or stroke, ask the doctor who prescribes it for you when to stop taking it. Some examples of blood thinners are warfarin (Coumadin®), dalteparin (Fragmin®), heparin, tinzaparin (Innohep®), enoxaparin (Lovenox®), clopidogrel (Plavix®), and cilostazol (Pletal®). There are others, so check with your doctor if you are not sure. If you take insulin or other medications for diabetes, you may need to change the dose.
[Show full text]
Utility of Abdominal Ultrasonography in the Diagnosis and Monitoring of Inflammatory Bowel Disease
1130-0108/2014/106/6/395-408 REVISTA ESPAÑOLA DE ENFERMEDADES DIGESTIVAS REV ESP ENFERM DIG (Madrid COPYRIGHT © 2014 ARÁN EDICIONES, S. L. Vol. 106, N.º 6, pp. 395-408, 2014 REVIEW Utility of abdominal ultrasonography in the diagnosis and monitoring of inflammatory bowel disease Joaquín Poza-Cordón1 and Tomás Ripollés-González2 1Department of Gastroenterology. Hospital Universitario La Paz. Madrid, Spain. 2Department of Radiology. Hospital Dr. Peset. Valencia, Spain ABSTRACT lished for examining the gastrointestinal tract, for three main reasons: Better technological development in other Abdominal ultrasonography has been undervalued for years as diagnostic techniques, a rejection by gastroenterologists technique used in examining the gastrointestinal tract. However, in the validity of its results, and the intestinal content it- thanks to the technological advances that have been seen in ultrasonography probes and the use of high frequency equipment, self, which has always been considered a limiting factor we are able to obtain high quality images of the intestinal wall. for exploration. However, in the last 20 years, it has been Moreover, due to the increased sensitivity of the colour Doppler, used with great diagnostic reliability to evaluate inflam- we can detect the parietal vascularization. Finally, in recent years, matory processes of the gastrointestinal tract (1-3) such as intravenous ultrasonography contrast agents have been used that infectious enterocolitis (4,5), diverticulitis (6-8), appendi- allow not only the inflammatory activity to be quantified but also the presence of complications with a diagnostic accuracy similar to citis (9) or ischemic colitis (10). Only in the last decade computed tomography (CT) and full magnetic resonance (full-RM), has it been accepted as a first-line technique in the diagno- without the associated radiation risk and at a lower cost.
[Show full text]
A Retrospective Survey of Digital Rectal Examinations During the Workup of Rectal Cancers
healthcare Article The Digital Divide: A Retrospective Survey of Digital Rectal Examinations during the Workup of Rectal Cancers Omar Farooq 1, Ameer Farooq 2,* , Sunita Ghosh 3, Raza Qadri 1, Tanner Steed 3, Mitch Quinton 1 and Nawaid Usmani 3,* 1 Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, AB T6G 2R3, Canada; [email protected] (O.F.); [email protected] (R.Q.); [email protected] (M.Q.) 2 Section of Colorectal Surgery, Department of Surgery, University of British Columbia, Vancouver, BC V6T 1Z4, Canada 3 Department of Oncology, University of Alberta, Edmonton, AB T6G 1Z2, Canada; [email protected] (S.G.); [email protected] (T.S.) * Correspondence: [email protected] (A.F.); [email protected] (N.U.) Abstract: Background: Digital rectal examination (DRE) is considered an important part of the physical examination. However, it is unclear how many patients have a DRE performed at the primary care level in the work-up of rectal cancer, and if the absence of a DRE causes a delay to consultation with a specialist. Methods: A retrospective patient questionnaire was sent to 1000 consecutive patients with stage II or stage III rectal cancer. The questionnaire asked patients to recall if they had a DRE performed by their general practitioner (GP) when they ﬁrst presented with symptoms or a positive FIT test. Demographic data, staging data, and time to consultation with a specialist were also Citation: Farooq, O.; Farooq, A.; collected. Results: A thousand surveys were mailed out, and a total of 262 patients responded. Of Ghosh, S.; Qadri, R.; Steed, T.; the respondents, 46.2% did not recall undergoing a digital rectal examination by their primary care Quinton, M.; Usmani, N.
[Show full text]
Characteristics of Colorectal Cancer Diagnosed with Screening Abdominal Ultrasonography
64 TOMIZAWA et al: COLORECTAL CANCER DIAGNOSIS USING ULTRASONOGRAPHY Characteristics of colorectal cancer diagnosed with screening abdominal ultrasonography MINORU TOMIZAWA1, FUMINOBU SHINOZAKI2, RUMIKO HASEGAWA3, KAZUNORI FUGO4, YOSHINORI SHIRAI3, YASUFUMI MOTOYOSHI5, TAKAO SUGIYAMA6, SHIGENORI YAMAMOTO7, TAKASHI KISHIMOTO4 and NAOKI ISHIGE8 Departments of 1Gastroenterology, 2Radiology and 3Surgery, National Hospital Organization Shimoshizu Hospital, Yotsukaido, Chiba 284‑0003; 4Department of Molecular Pathology, Chiba University Graduate School of Medicine, Chiba, Chiba 260‑8670; Departments of 5Neurology, 6Rheumatology, 7Pediatrics and 8Neurosurgery, National Hospital Organization Shimoshizu Hospital, Yotsukaido, Chiba 284‑0003, Japan Received January 4, 2016; Accepted April 8, 2016 DOI: 10.3892/mco.2016.903 Abstract. Patient records were retrospectively analyzed to eluci‑ rate diagnosis is crucial. CRC is screened with fecal occult date the characteristics of patients with colorectal cancer (CRC) blood testing and diagnosed with colonoscopy (3). However, diagnosed with screening abdominal ultrasound (US). Patients fecal occult blood testing is not entirely reliable, although diagnosed with CRC using abdominal US [localized irregular no other modalities surpass this test regarding practicality wall thickening (W) or a hypoechoic mass with a hyperechoic and affordability (4). Colonoscopy is the gold standard of mass (M)] were enrolled. The patients were subjected to diagnostic methods for CRC. However, colonoscopy is not colonoscopy and treated surgically between March, 2010 and available to all patients, as not many clinicians are adequately January, 2015. A total of 5 men (aged 74.0±0.8 years) and skilled to perform this procedure (5). 10 women (aged 73.0±12.0 years) were analyzed. Stratification Abdominal ultrasound (US) is useful for the safe and easy was analyzed with abdominal US.
[Show full text]
Small Bowel Multivisceral Transplantation MCG-117
Subject: Small Bowel Transplantation, Small Bowel and Liver Original Effective Date: Transplantation and Multivisceral Transplantation 8/30/12 Policy Number: MCP -117 Revision Date(s): 5/26 /15 Review Date: 12/16/15, 12/14/16, 6/22/17, 9/13/18 , 9/18/ 19 MCPC Approval Date: 6/22/17 , 9/13/18 , 9/18/19 DISCLAIMER This Molina Clinical Policy (MCP) is intended to facilitate the Utilization Management process. It expresses Molina's determination as to whether certain services or supplies are medically necessary, experimental, investigational, or cosmetic for purposes of determining appropriateness of payment. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Molina) for a particular member. The member's benefit plan determines coverage. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusion(s) or other benefit limitations applicable to this service or supply. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. CMS's Coverage Database can be found on the CMS website. The coverage directive(s) and criteria from an existing National Coverage Determination (NCD) or Local Coverage Determination (LCD) will supersede the contents of this Molina Clinical Policy (MCP) document and provide the directive for all Medicare members.
[Show full text]
Bowel Ultrasound in Inflammatory Bowel Disease
life Review Bowel Ultrasound in Inflammatory Bowel Disease: How Far in the Grayscale? Federica Furfaro 1,*, Arianna Dal Buono 1 , Mariangela Allocca 1,2, Ferdinando D’Amico 1,2, Alessandra Zilli 1, Roberto Gabbiadini 1 and Silvio Danese 1,2 1 IBD Center, Humanitas Research Hospital—IRCCS, 20089 Rozzano, Italy; [email protected] (A.D.B.); [email protected] (M.A.); [email protected] (F.D.); [email protected] (A.Z.); [email protected] (R.G.); [email protected] (S.D.) 2 Department of Biomedical Sciences, Humanitas University, 20090 Pieve Emanuele, Italy * Correspondence: [email protected]; Tel.: +39-(0)-282-245-555 Abstract: Bowel ultrasound (BUS) is a non-invasive and accurate technique for assessing activity, extension of disease, and complications in inflammatory bowel diseases. The main advantages of BUS are its safety, reproducibility, and low costs. Ancillary technologies of BUS (i.e., color Doppler and wave elastography) could broaden the diagnostic power of BUS, allowing one to distinguish between inflammation and fibrosis. Considering the costs and invasiveness of colonoscopy and magnetic resonance, BUS appears as a fast, safe, and accurate technique. The objective measures of disease allow one to make clinical decisions, such as optimization, switch, or swap of therapy. Previous studies reported a sensitivity and a specificity of more than 90% compared to endoscopy and magnetic Citation: Furfaro, F.; Dal Buono, A.; resonance. Lastly, transperineal ultrasound (TPUS) is a promising approach for the evaluation of Allocca, M.; D’Amico, F.; Zilli, A.; Gabbiadini, R.; Danese, S. Bowel perianal disease in Crohn’s disease (CD) and disease activity in patients with ulcerative proctitis or Ultrasound in Inflammatory Bowel pouchitis.
[Show full text]