TY  - JOUR
T1  - Colonoscopy: Prime time for primary care?
AU  - Voelker R
Y1  - 2009/03/04
N1  - 10.1001/jama.2009.238
JO  - JAMA
SP  - 921
EP  - 922
VL  - 301
IS  - 9
N2  - 
Authors of a meta-analysis published in January say that adequately trained primary care physicians can perform colonoscopy as safely and effectively as endoscopists and gastroenterologists. The analysis included 12 studies reporting outcomes from 18 292 colonoscopies performed by 73 primary care physicians. Their adenoma and adenocarcinoma detection rates were 28.9% and 1.7%, respectively. They were able to reach the cecum—the anatomical landmark of a complete examination—in 89.2% of procedures. Major complications occurred in 0.04% of the procedures, including 3 perforations. No deaths were reported (Wilkins T el al. Ann Fam Med. 2009;7[1]:56-62).

SN  - 0098-7484
M3  - doi: 10.1001/jama.2009.238
UR  - http://dx.doi.org/10.1001/jama.2009.238
ER  -