Oncology & Cancer

ACG updates guidelines for colorectal cancer screening

In the March issue of the American Journal of Gastroenterology, the American College of Gastroenterology has published updated recommendations for colorectal cancer (CRC) screening.

Aasma Shaukat, M.D., M.P.H., from the University of Minnesota in Minneapolis, and colleagues updated the 2009 American College of Gastroenterology CRC screening guidelines. A comprehensive literature search was conducted to include studies through October 2020.

The authors strongly recommend CRC screening for average-risk individuals aged 50 to 75 years to reduce the incidence of advanced adenoma, CRC, and mortality from CRC. Based on very low-quality evidence, the authors suggest CRC screening for average-risk individuals aged 45 to 49 years to reduce the incidence of advanced adenoma, CRC, and CRC mortality. Based on very low-quality evidence, a decision to continue screening beyond age 75 years should be individualized. Colonoscopy and fecal immunochemical test (FIT) are strongly recommended as the primary screening modalities based on low-quality evidence. Flexible sigmoidoscopy, multitarget stool DNA test, computed tomography colonography, or colon capsule should be considered for those unable or unwilling to undergo colonoscopy or FIT. Recommendations for earlier CRC screening were detailed for individuals who have first-degree relatives with CRC or advanced colorectal polyps.

“Despite the availability of multiple screening modalities and various public health initiatives to boost CRC screening, nearly one-third of the eligible U.S. population is unscreened,” the authors write. “CRC screening rates must be optimized to reach the aspirational target of >80 percent.”

Several authors disclosed financial ties to the pharmaceutical and medical device industries.


Inside the new colorectal cancer screening guidelines for average-risk patients


More information:
Abstract/Full Text

Copyright © 2021 HealthDay. All rights reserved.

Citation:
ACG updates guidelines for colorectal cancer screening (2021, April 14)
retrieved 14 April 2021
from https://medicalxpress.com/news/2021-04-acg-guidelines-colorectal-cancer-screening.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.

Source link

Leave a Reply

Your email address will not be published. Required fields are marked *

Back to top button

Ad Block Detected

Welcome to Mediexpose, Please support our journalism by allowing ads. With support from readers like you, we can continue to deliver the best. You can support us free by simply allowing ads.