Dartmouth Health Continuing Education for Professionals Home, Medicine Grand Rounds - When is Enough, Enough? Decision Making Around Colonoscopy in Older Adults, 10/2/2020 8:00:00 AM - 10/2/2023 9:00:00 AM, Dr. Calderwood examines the regional, national and international data analyzing the benefits and harms of screening and surveillance colonoscopies in adults ages 75 and older. Screening and surveillance decisions in this population are complex and should incorporate factors such as co-morbidities, life expectancy, age and polyp history. As potential harm from the procedure increases with age, she suggests reconsidering the current paradigm to develop better communication and decision tools, and identify less invasive strategies that balance benefits and harms.
Presenter
Audrey H. Calderwood, MD, MS, FACG, FASGE
Associate Professor of Medicine and The Dartmouth Institute
Geisel School of Medicine
Section of Gastroenterology, Dartmouth-Hitchcock Medical Center
About our presenter:
Dr. Audrey Calderwood has focused on quality as an overarching theme throughout her career. She is passionate about risk-aligned care, such that high-risk patients receive appropriate and timely care and low risk patients avoid unnecessary procedures. She has been highly involved in the American Society of Gastrointestinal Endoscopy, including co-directing a national course on quality in the endoscopy unit that toured throughout the US and co-chairing the multi-society guidelines on safety in the endoscopy unit and infection control in endoscopy. She also serves on the ACG Research Committee and the ACG Women’s Committee.
Learning Outcome(s)
Participants will be able to review current guidelines regarding screening colonoscopy in older adults, describe the waning benefits and increasing harms of colonoscopy with age and co-morbidities, and discuss non-invasive alternatives to colonoscopy and when to stop screening.
Disclosure
In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.
The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.
* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio.
* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and is on the Scientific Advisory Board for Allurion.
Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.
*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.
Bibliographic Material
See presentation for bibliographic sources to allow for further study.
Presenter
Audrey H. Calderwood, MD, MS, FACG, FASGE
Associate Professor of Medicine and The Dartmouth Institute
Geisel School of Medicine
Section of Gastroenterology, Dartmouth-Hitchcock Medical Center
About our presenter:
Dr. Audrey Calderwood has focused on quality as an overarching theme throughout her career. She is passionate about risk-aligned care, such that high-risk patients receive appropriate and timely care and low risk patients avoid unnecessary procedures. She has been highly involved in the American Society of Gastrointestinal Endoscopy, including co-directing a national course on quality in the endoscopy unit that toured throughout the US and co-chairing the multi-society guidelines on safety in the endoscopy unit and infection control in endoscopy. She also serves on the ACG Research Committee and the ACG Women’s Committee.
Learning Outcome(s)
Participants will be able to review current guidelines regarding screening colonoscopy in older adults, describe the waning benefits and increasing harms of colonoscopy with age and co-morbidities, and discuss non-invasive alternatives to colonoscopy and when to stop screening.
Disclosure
In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.
The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.
* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio.
* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and is on the Scientific Advisory Board for Allurion.
Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.
*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.
Bibliographic Material
See presentation for bibliographic sources to allow for further study.
