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Dr. Logan Spector

๐Ÿ‘ค Speaker
360 total appearances

Appearances Over Time

Podcast Appearances

Health Chatter
Colorectal Cancer

Probably the public has seen they've moved around the ideal age of mammograms for breast cancer.

Health Chatter
Colorectal Cancer

Um, and, uh, absolutely the, uh, recognition that, you know, early onset colorectal cancer is epidemic now.

Health Chatter
Colorectal Cancer

Um, we, we, we say epidemic when, uh, you know, even if it's not an infectious disease, if something's just kind of risen everywhere all at once and, um,

Health Chatter
Colorectal Cancer

But it's a tough situation because when you screen a population, all right, if the incidence is not that high, you get more false positives than true positives, all right?

Health Chatter
Colorectal Cancer

Meaning you're going to worry a lot of people, you know, many more people than โ€“

Health Chatter
Colorectal Cancer

than are going to get saved.

Health Chatter
Colorectal Cancer

And so it's really like a numbers game.

Health Chatter
Colorectal Cancer

And, you know, even though it's been rising by 50%, that's the relative rise, you know, and in absolute numbers, early onset colorectal cancer is still pretty rare.

Health Chatter
Colorectal Cancer

At least compared to the, you know, over 50s.

Health Chatter
Colorectal Cancer

And so really science has to do better with the method of screening.

Health Chatter
Colorectal Cancer

So when a disease is rare, like if your screening test isn't,

Health Chatter
Colorectal Cancer

just spot on, then you will just worry a lot more people, the so-called false positives.

Health Chatter
Colorectal Cancer

And that can have real consequences.

Health Chatter
Colorectal Cancer

You surely know about the prostate cancer screening.

Health Chatter
Colorectal Cancer

They moved to the PSA test, the prostate specific antigen test.

Health Chatter
Colorectal Cancer

a lot of uptake because, you know, that's based on a urine test rather than the digital rectal exam.

Health Chatter
Colorectal Cancer

And, um, but it turns out that there are basically every man over 50 has like a, an incipient prostate, uh, cancer.