Colorectal Cancer Screening in Average Risk Patients

Med Clin North Am. 2017 Jul;101(4):755-767. doi: 10.1016/j.mcna.2017.03.007. Epub 2017 May 6.

Abstract

Colorectal cancer (CRC) contributes a major burden of cancer mortality in the United States. There are multiple effective screening approaches that can reduce CRC mortality. These approaches are supported by different levels of evidence, and each has its own advantages and disadvantages. Implementing a systematic approach to screening that addresses the multiple steps involved in the screening process is essential to improving population-level CRC screening. Offering patients stool-based screening is important for increasing screening uptake. However, programs that offer stool testing must support the population health infrastructure needed to promote adherence to repeat testing and follow-up of abnormal tests.

Keywords: Colorectal cancer screening; Implementation; Prevention.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Colonoscopy
  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / epidemiology
  • Early Detection of Cancer / economics
  • Early Detection of Cancer / methods*
  • Genetic Predisposition to Disease
  • Humans
  • Occult Blood
  • Patient Education as Topic
  • Practice Guidelines as Topic
  • Risk Assessment
  • Risk Factors
  • United States