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Teachable Moment
Less Is More
August 19, 2019

Getting Colorectal Cancer Screening Right: A Teachable Moment

Author Affiliations
  • 1David Geffen School of Medicine, Department of Medicine, University of California, Los Angeles, California
  • 2David Geffen School of Medicine, The Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles, California
JAMA Intern Med. 2019;179(10):1417-1418. doi:10.1001/jamainternmed.2019.3457

A 65-year-old man with a history of tobacco use presented to his primary care physician (PCP) for an annual physical examination. Because the patient had not received colorectal cancer (CRC) screening, screening options including colonoscopy and fecal immunochemical test (FIT) were discussed. He refused both options for reasons that he chose not to disclose.

Months later, he presented for routine care, at which time CRC screening was revisited. His PCP discussed the utility and options for CRC screening. The patient opted for FIT and the result was positive. Colonoscopy was recommended, but he declined the procedure after further discussion.

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