Becker's ASC Review

May, June 2017 Issue of Becker's ASC Review

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41 GI/ENDOSCOPY • CT-free technology – avoids additional time, cost and radiation exposure • Handheld robotics – accurate bone removal within the surgeon defined plan • BLUEPRINT™ marketing support – customized program launch and development • Attractive economics – accessible to facilities of any size • Available for both partial and total knees The NAVIO Surgical System allows you to build an Ortho-Robotics Program that can bring clinical and strategic value to your orthopaedic initiatives through: Want to Build an Orthopaedic Robotics Program? We can help. Learn how NAVIO-assisted knee replacement can fit into your facility's growth plan and with the needs of your patients. 05279-2 V1 05/17 ™Trademark of Smith & Nephew ©2017 Smith & Nephew, Inc. www.reshapingmobility.com Colorectal Cancer Rates Up in Millennials — 5 Study Insights By Eric Oliver A er years of decreases, colorectal cancer is re-emerging at alarming rates in the millennial generation. A study, published in the Journal of the National Cancer Insti- tute, examined colorectal cancer rates between 1974 and 2013. Atlanta-based American Cancer Society Epidemiologist Rebecca Sie- gel, MD, led the study examining 490,305 reported colorectal cancer incidence cases. Here are five study insights: 1. Aer decreasing in the 1970s, colon cancer incidence rates increased by 1 percent to 2.4 percent annually in 20 to 39-year-old adults from the mid-1980s through 2013. 2. Colon cancer rates increased by 0.5 percent to 1.3 percent annually in 40 to 54-year-old adults from the mid-1990s through 2013. 3. Rectal cancer rates increased 3.2 percent annually in 20 to 29-year- old adults from 1974 to 2013. 4. In adults 55 years and older, colon cancer rates declined since the mid-1980s while rectal cancer rates decreased since 1974. 5. To further reflect that trend, age-specific colorectal cancer risk de- clined from 1890 to 1950, but then continuously increased through 1990. Compared with adults born in 1950, adults born in 1990 have double the risk of developing colon cancer and quadruple the risk of rectal cancer. Dr. Siegel concluded, "Age-specific CRC risk has escalated back to the level of those born circa 1890 for contemporary birth cohorts, un- derscoring the need for increased awareness among clinicians and the general public, as well as etiologic research to elucidate causes for the trend," before recommending screening should begin for patients younger than 50 years old. Cleveland-based Center for Digestive Health gastroenterologist Franjo Vladic, MD, said of the study, "e best screening test for a population is one which the individual is willing to undergo. us, if a patient does not want to participate in colonoscopy for screening, then an alternative should be offered to the individual. Cologuard is an alternative to an invasive screening method. Despite society's best effort in promoting colonoscopy for colon screening, we still have individuals not getting screened. Colorectal cancer if detected early has a more favorable outcome." n

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