Abstract
Flexible Sigmoidoscopy for Colorectal Cancer Screening in Canada
Highlights
Fecal occult blood testing and lower gastrointestinal endoscopy are the two most commonly used tests for colorectal cancer (CRC) screening in Canada [1]
Registered nurses (RNs) are performing flexible sigmoidoscopy (FS) independently in the current format, a physician trainer must be in a nearby office or the endoscopy suite
It is interesting to note that Ontario’s Registered Nurse-performed FS (RNFS) initiative started long before the publication of the first randomized controlled trials (RCTs) demonstrating the efficacy of FS
Summary
Fecal occult blood testing and lower gastrointestinal endoscopy are the two most commonly used tests for colorectal cancer (CRC) screening in Canada [1]. Programs in Germany, Ontario and New York (USA), require endoscopists to be performing at least 200 colonoscopies per year to participate in their CRC programs; the German CRC screening program excludes general practitioners performing endoscopy. Others, including the United Kingdom, Ontario and the University of Alberta (Edmonton, Alberta), are training nurses to perform endoscopy.
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