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Effectiveness of flexible sigmoidoscopy screening in men and women and different age groups: pooled analysis of randomised trials

BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.i6673 (Published 13 January 2017) Cite this as: BMJ 2017;356:i6673

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Re: Effectiveness of flexible sigmoidoscopy screening in men and women and different age groups: pooled analysis of randomised trials

Sirs

I read this, though not as thoroughly as perhaps I should, and I was impressed by the design of the study, by the precise monitoring conducted, and the clearly expressed conclusions. The problem, as I see it, is in implementing a different screening type for older women. No matter how good the evidence, and I reckon it's as good as it gets, I somehow doubt that any different approach would be acceptable to those offered screening. To explain the difference would take such an effort that it might not be worthwhile. That's a great shame.

John

Competing interests: No competing interests

16 January 2017
John G Gooderham
locum lollipop lady
none
Billingshurst