#ecuimres transcript

Healthcare Social Media Transcript

From: Fri Jan 04 0:00:00 PST 2013
To: Fri Jan 04 8:00:00 PST 2013

What is #ecuimres? Who were the influencers during this time period? #ecuimres analytics


Healthcare Conference  - Healthcare Tweet Chats  -  Healthcare Analytics

ecuimchiefs
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Join #ecuimres for #grandrounds "Colorectal Cancer Screening: How can we improve?"
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer Screening by Dr P Lepera. Profile here: ... http://t.co/EsgPxtOl
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: objectives=review stats, current recs, update on RCTs, & minimize screening disparities
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: 3rd most common cause of cancer; ~9% of all cancers
ecuimchiefs
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#ecuimres #grandrounds Reviewing NCCN guidelines for screening. Avg risk= age >50, no hx of adenoma, no hx of IBD, neg fam hx
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: NCCN definition of an avg risk pt= age >50, no h/o adenomas, no h/o IBD & negative family hx
ecuimchiefs
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#ecuimres #grandrounds NCCN: colonoscopy is the preferred modality for screening. If neg, repeat in 10 yrs. If positive/polyps-->polypectomy
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: can b screened by colonoscopy, FOBT, or flex sig; #colonoscopy is the preferred screening test
ecuimchiefs
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#ecuimres #grandrounds Alternative to colonoscopy screening (if unavailable) can do stool based guaiac testing +/- flex sigmoidoscopy
ecuimchiefs
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#ecuimres #grandrounds If positive --> colonoscopy
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: USPSTF guidelines 4 screening http://t.co/VcQeOpaC
ecuimchiefs
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#ecuimres #grandrounds http://t.co/JH90IA4C
ecuimchiefs
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#ecuimres #grandrounds Do physicians understand cancer screening statistics? http://t.co/hNg3YtL5
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: survival alone isn't the most reliable measure of screening test efficacy Annals 2012 (march 6)
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: cause-specific mortality is more reliable Annals 2012 156:5
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: overall survival stats in context of screening is susceptible 2 lead time & overdiagnosis bias
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: NEJM Feb 2012: polypectomy does reduce cancer-specific mortality
ecuimchiefs
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#ecuimres #grandrounds Dr Lepera now reviewing data from: http://t.co/EBpuXOrR
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: what about screening w/ flex sig? NEJM 2012 366:25 indicates decr cause-specific mortality
ecuimchiefs
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#ecuimres #grandrounds Now reviewing data from: http://t.co/ahgLdNak
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: even FOBT decr cause-specific mortality; RR 0.9 (Br J of Cancer June 2012)
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: COLONPREV study compares colonoscopy vs FOBT screening efficacy NEJM 2012 366:697
ecuimchiefs
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#ecuimres #grandrounds Comparing Colonoscopy vs Fecal Immunochemical Testing: http://t.co/mNkmwSML
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer: Soneji JOP 2012 shows a rise in screening, mostly by endoscopy & not by FOBT;
nephondemand
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#ecuimres #grandrounds: #Colorectal #Cancer:SEER database shows an increase in CRC incidence in the 40-44 yr old range & decrease in >65 age

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