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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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
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Abstract	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.
AbstractList	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.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. 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.
Author	Kahi, Charles Dominitz, Jason A Schoen, Robert E Ladabaum, Uri
Author_xml	– sequence: 1 givenname: Uri surname: Ladabaum fullname: Ladabaum, Uri email: uri.ladabaum@stanford.edu organization: Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, California. Electronic address: uri.ladabaum@stanford.edu – sequence: 2 givenname: Jason A surname: Dominitz fullname: Dominitz, Jason A organization: Gastroenterology Section, Veterans Affairs Puget Sound Health Care System, Seattle, Washington; Division of Gastroenterology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington – sequence: 3 givenname: Charles surname: Kahi fullname: Kahi, Charles organization: Indiana University School of Medicine, Indianapolis, Indiana; Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana – sequence: 4 givenname: Robert E surname: Schoen fullname: Schoen, Robert E organization: Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/31394083$$D View this record in MEDLINE/PubMed
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Keywords	Fecal Immunochemical Test Sigmoidoscopy Fecal Occult Blood Test Colonoscopy
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References	31542409 - Gastroenterology. 2019 Dec;157(6):1691-1692
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Snippet	The incidence of colorectal cancer (CRC) is increasing worldwide. CRC has high mortality when detected at advanced stages, yet it is also highly preventable....
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SubjectTerms	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
Title	Strategies for Colorectal Cancer Screening
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