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Intensive follow up after colorectal cancer surgery is associated with
a reduction in all cause mortality. A systematic review of five trials
including 1342 patients by Renehan and colleagues (p 813) found a
9-13% reduction in mortality in trials that used computed tomography
and frequent measurements of serum carcinoembryonic antigen to follow
up patients. The authors conclude that this reduction is due to all
recurrences of cancer, and particularly isolated recurrent disease,
being detected early. This study counteracts the lack of direct
evidence for intensive follow up after initial curative treatment for
colorectal cancer.
Israeli students are refusing to perform intimate examinations on anaesthetised women without their informed consent.