Colorectal cancer screening: A guide to the guidelines

Viju P. Deenadayalu, Douglas K. Rex

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

The best known guidelines for colorectal cancer screening in the United States are those of the US Multisociety Task Force on Colorectal Cancer, the American Cancer Society, the United States Preventive Services Task Force, the American College of Gastroenterology, and the American Society of Gastrointestinal Endoscopy. Screening is currently endorsed for both average-risk and high-risk persons by all guideline groups. Some guidelines offer a menu of options for average-risk persons, from which patients and physicians can select according to their perceptions and values regarding effectiveness, risk, and upfront costs. The alternative approach of colonoscopy as the preferred strategy simplifies discussions with patients and better reflects current trends in procedure use in the United States. For patients who refuse invasive testing, fecal occult blood testing is available. Quantitative fecal immunochemical tests offer promise for improved performance compared with guaiac testing. Radiographic screening has declined, although double contrast barium enema still remains an option in some guidelines. Computed tomographic colonography remains under active consideration but is not yet endorsed by any of the guidelines. High risk is still based primarily on family history, and the guidelines are fairly consistent in adjusting screening modality and intervals according to family history.

Original languageEnglish (US)
Pages (from-to)204-213
Number of pages10
JournalReviews in gastroenterological disorders
Volume7
Issue number4
StatePublished - Sep 1 2007

    Fingerprint

Keywords

  • Colonoscopy
  • Colorectal cancer
  • Double contrast barium enema
  • Familial adenomatous polyposis
  • Fecal occult blood test
  • Flexible sigmoidoscopy
  • Hereditary nonpolyposis colorectal cancer
  • Screening

ASJC Scopus subject areas

  • Gastroenterology

Cite this