Pub Date : 2026-10-01Epub Date: 2026-07-10DOI: 10.1016/j.giec.2026.05.004
Pascale M White, Mariela Trejo, Renee Williams
Colorectal cancer (CRC) is the second most common cause of cancer deaths within the United States. Screening is effective in reducing the incidence and mortality of CRC; however, lower screening rates among the medically underserved have contributed to disparate outcomes in morbidity and mortality. Interventions to increase screening in this group include outreach at patient, community, provider, health system, and policy levels. In this article, we discuss the barriers and strategies to increase screening adherence in the medically underserved.
{"title":"Improving Adherence to Colorectal Cancer Screening Among Underserved Populations: Barriers and Strategies.","authors":"Pascale M White, Mariela Trejo, Renee Williams","doi":"10.1016/j.giec.2026.05.004","DOIUrl":"https://doi.org/10.1016/j.giec.2026.05.004","url":null,"abstract":"<p><p>Colorectal cancer (CRC) is the second most common cause of cancer deaths within the United States. Screening is effective in reducing the incidence and mortality of CRC; however, lower screening rates among the medically underserved have contributed to disparate outcomes in morbidity and mortality. Interventions to increase screening in this group include outreach at patient, community, provider, health system, and policy levels. In this article, we discuss the barriers and strategies to increase screening adherence in the medically underserved.</p>","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 4","pages":"791-804"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-04-22DOI: 10.1016/j.giec.2026.02.004
Akwi W Asombang, Nkengeh Tazinkeng, Yakira David, Douglas K Rex
Colorectal cancer (CRC) imposes a substantial global burden, with highest incidence in Australia/New Zealand and Europe and rising early-onset cases. Screening uptake remains suboptimal worldwide, and national guidelines are not universal. Colonoscopy is the gold-standard screening modality, enabling detection and resection of precancerous lesions; polypectomy substantially reduces CRC incidence and mortality. Noninvasive tests are valuable but require follow-up colonoscopy for confirmation. Barriers to colonoscopy occur at patient (anxiety, literacy, language, culture), provider (recommendation, communication), and system (access, cost, policy) levels. Technological advances-high-definition and advanced optics, artificial intelligence, and robotic colonoscopy-enhance detection, safety, and participation, advancing prevention.
{"title":"Screening for Colorectal Cancer with Colonoscopy.","authors":"Akwi W Asombang, Nkengeh Tazinkeng, Yakira David, Douglas K Rex","doi":"10.1016/j.giec.2026.02.004","DOIUrl":"https://doi.org/10.1016/j.giec.2026.02.004","url":null,"abstract":"<p><p>Colorectal cancer (CRC) imposes a substantial global burden, with highest incidence in Australia/New Zealand and Europe and rising early-onset cases. Screening uptake remains suboptimal worldwide, and national guidelines are not universal. Colonoscopy is the gold-standard screening modality, enabling detection and resection of precancerous lesions; polypectomy substantially reduces CRC incidence and mortality. Noninvasive tests are valuable but require follow-up colonoscopy for confirmation. Barriers to colonoscopy occur at patient (anxiety, literacy, language, culture), provider (recommendation, communication), and system (access, cost, policy) levels. Technological advances-high-definition and advanced optics, artificial intelligence, and robotic colonoscopy-enhance detection, safety, and participation, advancing prevention.</p>","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 4","pages":"659-672"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-07-06DOI: 10.1016/j.giec.2026.06.001
Aasma Shaukat
{"title":"Comprehensive Guide to Colorectal Cancer Screening.","authors":"Aasma Shaukat","doi":"10.1016/j.giec.2026.06.001","DOIUrl":"https://doi.org/10.1016/j.giec.2026.06.001","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 4","pages":"xv-xvi"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-01Epub Date: 2026-03-03DOI: 10.1016/j.giec.2026.01.003
Carl Wieman PhD, Argenta Price PhD, Candice Jeehae Kim PhD, MS
{"title":"Teaching Medical Students to Reason like Skilled Physicians","authors":"Carl Wieman PhD, Argenta Price PhD, Candice Jeehae Kim PhD, MS","doi":"10.1016/j.giec.2026.01.003","DOIUrl":"10.1016/j.giec.2026.01.003","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 3","pages":"Pages 453-461"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-01Epub Date: 2026-06-29DOI: 10.1016/S1052-5157(26)00044-9
Roy Soetikno (Editor), Tonya Kaltenbach, Hasan Maulahela (Editors)
{"title":"Endoscopy Training Based on the Science of Expertise","authors":"Roy Soetikno (Editor), Tonya Kaltenbach, Hasan Maulahela (Editors)","doi":"10.1016/S1052-5157(26)00044-9","DOIUrl":"10.1016/S1052-5157(26)00044-9","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 3","pages":"Page i"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148588500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-01Epub Date: 2026-06-29DOI: 10.1016/S1052-5157(26)00046-2
{"title":"Contributors","authors":"","doi":"10.1016/S1052-5157(26)00046-2","DOIUrl":"10.1016/S1052-5157(26)00046-2","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 3","pages":"Pages iii-v"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148588502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-01Epub Date: 2026-03-04DOI: 10.1016/j.giec.2026.01.006
Carlos Paolo D. Francisco MD, Patricia Anne I. Cabral-Prodigalidad MD, Ravishankar Asokkumar MBBS, FRCP
{"title":"Deconstructing Expert Technical Skill in Endoscopy","authors":"Carlos Paolo D. Francisco MD, Patricia Anne I. Cabral-Prodigalidad MD, Ravishankar Asokkumar MBBS, FRCP","doi":"10.1016/j.giec.2026.01.006","DOIUrl":"10.1016/j.giec.2026.01.006","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 3","pages":"Pages 481-490"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-01Epub Date: 2026-04-16DOI: 10.1016/j.giec.2026.02.001
William C. McGaghie PhD
{"title":"Endoscopy Education Grounded in the Science of Expertise and Simulation-Based Mastery Learning","authors":"William C. McGaghie PhD","doi":"10.1016/j.giec.2026.02.001","DOIUrl":"10.1016/j.giec.2026.02.001","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 3","pages":"Pages 439-451"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-01Epub Date: 2026-03-13DOI: 10.1016/j.giec.2026.01.009
Jeffrey H. Barsuk MD, MS, Eric S. Hungness MD
{"title":"Simulation-Based Mastery Learning in Medicine and Surgery","authors":"Jeffrey H. Barsuk MD, MS, Eric S. Hungness MD","doi":"10.1016/j.giec.2026.01.009","DOIUrl":"10.1016/j.giec.2026.01.009","url":null,"abstract":"","PeriodicalId":35666,"journal":{"name":"Gastrointestinal Endoscopy Clinics of North America","volume":"36 3","pages":"Pages 523-536"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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