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The Management of Small Polyps Found by Virtual Colonoscopy: Results of a Decision Analysis
Chin Hur, Daniel C. Chung, Robert E. Schoen, G. Scott Gazelle Clinical Gastroenterology and Hepatology Volume 5, Issue 2, Pages (February 2007) DOI: /j.cgh Copyright © 2007 AGA Institute Terms and Conditions
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Figure 1 Markov model used for the analysis. The start of the model shows a hypothetic 50-year-old patient who is found to have a 6- to 9-mm polypoid lesion on a screening CTC. Two strategies, immediate colonoscopy for polypectomy (COLO), and repeat the CTC examination in 3 years (WAIT), are modeled. A triangle at the end of a course signifies that the patient will be in this state at the end of the 3-year analysis. A circle with the letter m inside signifies that this is a Markov chain and that the patient will continue to another portion of the model. As stated in the text box, a patient with cancer can die from the cancer at any time in the 3-year analysis based on the annual stage-specific mortality rates stage (see Table 1). Clinical Gastroenterology and Hepatology 2007 5, DOI: ( /j.cgh ) Copyright © 2007 AGA Institute Terms and Conditions
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