**Author details**

Anjali Mone, Robert Mocharla, Allison Avery and Fritz Francois

New York University Langone Medical Center, USA

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**Chapter 3**

**The Future of Colonoscopy: The Use of Data**

**Screening — Italian Experience**

Baldovino Griffa, Fabrizio Rossi,

http://dx.doi.org/10.5772/52310

**1. Introduction**

py (COL) issues this doubt.

Massimo Buongiorno, Luigi Battaglia,

Alberto Vannelli, Michel Zanardo, Valerio Basilico,

Vincenzo Pruiti, Sara De Dosso and Giulio Capriata

Additional information is available at the end of the chapter

**Envelopment Analysis (DEA) for Colorectal Cancer**

René Descartes (1596-1650) in the published Discourse on Method, wrote: "…And because the actions of life often brook no delay, it is certainly very true that, when it is not in our power to determine the truest opinions, we ought to follow the most probable ones, and even when we see no difference in probability among this group of truths or that one, never‐ theless, we have to decide on some for ourselves and then to consider them, not as some‐ thing doubtful with regard to the practical matter at hand, but as manifestly true and very certain, because the reason which made us choose them has these qualities". [1] Colonosco‐

Everybody known the effect of COL on colorectal cancer (CRC) until 2009, when an observa‐ tional case–control study did not identify a reasonable explanation for COL: much less effec‐ tive in preventing death from colorectal cancer (CRC) of the right colon compared with the left colon [2]. Moreover to prevent one cancer death, 1,250 colonoscopies need to be per‐

Since polyps often take 10 to 15 years to transform into cancer, in someone at average risk of colorectal cancer, guidelines recommend 10 years after a normal screening COL before the next COL. [4,5]. By removing premalignant adenomas and detecting early cancer, COL should lower colorectal cancer mortality. Although gastroenterologists strongly believe that

and reproduction in any medium, provided the original work is properly cited.

© 2013 Vannelli et al.; licensee InTech. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

© 2013 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

formed, but perforation of the colon occurs at a rate of about 1 in 1000 procedures [3].
