Strategies for Colorectal Cancer Screening

The incidence of colorectal cancer (CRC) is increasing worldwide. CRC has high mortality when detected at advanced stages, yet it is also highly preventable. Given the difficulties in implementing major lifestyle changes or widespread primary prevention strategies to decrease CRC risk, screening is...

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Bibliographic Details
Published in:Gastroenterology (New York, N.Y. 1943) Vol. 158; no. 2; p. 418
Main Authors: Ladabaum, Uri, Dominitz, Jason A, Kahi, Charles, Schoen, Robert E
Format: Journal Article
Language:English
Published: United States 01.01.2020
Subjects:
Colonoscopy - standards
Colonoscopy - statistics & numerical data
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - prevention & control
Early Detection of Cancer - standards
Early Detection of Cancer - statistics & numerical data
Global Burden of Disease
Health Plan Implementation - standards
Healthy Lifestyle
Humans
Incidence
Mass Screening - organization & administration
Mass Screening - standards
Mass Screening - statistics & numerical data
Occult Blood
Patient Acceptance of Health Care - statistics & numerical data
Practice Guidelines as Topic
Risk Assessment - standards
Sigmoidoscopy - standards
Sigmoidoscopy - statistics & numerical data
Fecal Immunochemical Test
Sigmoidoscopy
Fecal Occult Blood Test
Colonoscopy
ISSN:1528-0012, 1528-0012
Online Access:Get more information
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Summary:The incidence of colorectal cancer (CRC) is increasing worldwide. CRC has high mortality when detected at advanced stages, yet it is also highly preventable. Given the difficulties in implementing major lifestyle changes or widespread primary prevention strategies to decrease CRC risk, screening is the most powerful public health tool to reduce mortality. Screening methods are effective but have limitations. Furthermore, many screen-eligible people remain unscreened. We discuss established and emerging screening methods, and potential strategies to address current limitations in CRC screening. A quantum step in CRC prevention might come with the development of new screening strategies, but great gains can be made by deploying the available CRC screening modalities in ways that optimize outcomes while making judicious use of resources.
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ISSN:1528-0012
1528-0012
DOI:10.1053/j.gastro.2019.06.043