Dtsch Arztebl Int
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Review Meta Analysis
Cognitive Reserve and the Risk of Postoperative Cognitive Dysfunction.
Post-operative cognitive dysfunction (POCD) occurs in 10 to 54% of older patients during the first few weeks after surgery, but little is known about risk factors predisposing to POCD. ⋯ Patients with a relatively higher level of education are at reduced risk of POCD. Risk stratification of surgical patients according to educational level may prove useful.
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Randomized Controlled Trial
Should Screening Colonoscopy Be Offered From Age 50?
The introduction of colonoscopic screening in 2002 for persons aged 55 and older was followed by a marked decline in the incidence of colon cancer in the corresponding age groups in Germany. The prevalence of colorectal neoplasia among persons aged 50 to 54 has remained unknown until now. Expert committees currently recommend colonoscopic screening for persons aged 50 and older. This option has been offered since 2014 by the AOK Baden-Württemberg and by Bosch BKK in the framework of their specialized medical care program. ⋯ These findings lend support to the demand that the offer of colonoscopic screening should be extended at least to men aged 50 and above.
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Randomized Controlled Trial
Screening for Bowel Cancer: Increasing Participation via Personal Invitation.
Participation rates in bowel cancer screening programs in Germany continue to be low. In a model project, a logistically simple procedure for inviting patients to participate was tested as a means of increasing participation. ⋯ Targeted invitations can markedly increase participation rates in cancer screening. Written invitations to undergo stool testing for blood should be accompanied by an actual test. Further trials should also include information about the number of adenomas and carcinomas detected by screening.