ACG Clinical Guidelines: Colorectal Cancer Screening 2021

Colorectal cancer (CRC) is the third most common cancer in men and women in the United States. CRC screening efforts are directed toward removal of adenomas and sessile serrated lesions and detection of early-stage CRC. The purpose of this article is to update the 2009 American College of Gastroente...

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Veröffentlicht in:The American journal of gastroenterology Jg. 116; H. 3; S. 458 - 479
Hauptverfasser: Shaukat, Aasma, Kahi, Charles J., Burke, Carol A., Rabeneck, Linda, Sauer, Bryan G., Rex, Douglas K.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Wolters Kluwer 01.03.2021
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
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ISSN:0002-9270, 1572-0241, 1572-0241
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Abstract Colorectal cancer (CRC) is the third most common cancer in men and women in the United States. CRC screening efforts are directed toward removal of adenomas and sessile serrated lesions and detection of early-stage CRC. The purpose of this article is to update the 2009 American College of Gastroenterology CRC screening guidelines. The guideline is framed around several key questions. We conducted a comprehensive literature search to include studies through October 2020. The inclusion criteria were studies of any design with men and women age 40 years and older. Detailed recommendations for CRC screening in average-risk individuals and those with a family history of CRC are discussed. We also provide recommendations on the role of aspirin for chemoprevention, quality indicators for colonoscopy, approaches to organized CRC screening and improving adherence to CRC screening. CRC screening must be optimized to allow effective and sustained reduction of CRC incidence and mortality. This can be accomplished by achieving high rates of adherence, quality monitoring and improvement, following evidence-based guidelines, and removing barriers through the spectrum of care from noninvasive screening tests to screening and diagnostic colonoscopy. The development of cost-effective, highly accurate, noninvasive modalities associated with improved overall adherence to the screening process is also a desirable goal.
AbstractList Colorectal cancer (CRC) is the third most common cancer in men and women in the United States. CRC screening efforts are directed toward removal of adenomas and sessile serrated lesions and detection of early-stage CRC. The purpose of this article is to update the 2009 American College of Gastroenterology CRC screening guidelines. The guideline is framed around several key questions. We conducted a comprehensive literature search to include studies through October 2020. The inclusion criteria were studies of any design with men and women age 40 years and older. Detailed recommendations for CRC screening in average-risk individuals and those with a family history of CRC are discussed. We also provide recommendations on the role of aspirin for chemoprevention, quality indicators for colonoscopy, approaches to organized CRC screening and improving adherence to CRC screening. CRC screening must be optimized to allow effective and sustained reduction of CRC incidence and mortality. This can be accomplished by achieving high rates of adherence, quality monitoring and improvement, following evidence-based guidelines, and removing barriers through the spectrum of care from noninvasive screening tests to screening and diagnostic colonoscopy. The development of cost-effective, highly accurate, noninvasive modalities associated with improved overall adherence to the screening process is also a desirable goal.
Colorectal cancer (CRC) is the third most common cancer in men and women in the United States. CRC screening efforts are directed toward removal of adenomas and sessile serrated lesions and detection of early-stage CRC. The purpose of this article is to update the 2009 American College of Gastroenterology CRC screening guidelines. The guideline is framed around several key questions. We conducted a comprehensive literature search to include studies through October 2020. The inclusion criteria were studies of any design with men and women age 40 years and older. Detailed recommendations for CRC screening in average-risk individuals and those with a family history of CRC are discussed. We also provide recommendations on the role of aspirin for chemoprevention, quality indicators for colonoscopy, approaches to organized CRC screening and improving adherence to CRC screening. CRC screening must be optimized to allow effective and sustained reduction of CRC incidence and mortality. This can be accomplished by achieving high rates of adherence, quality monitoring and improvement, following evidence-based guidelines, and removing barriers through the spectrum of care from noninvasive screening tests to screening and diagnostic colonoscopy. The development of cost-effective, highly accurate, noninvasive modalities associated with improved overall adherence to the screening process is also a desirable goal.Colorectal cancer (CRC) is the third most common cancer in men and women in the United States. CRC screening efforts are directed toward removal of adenomas and sessile serrated lesions and detection of early-stage CRC. The purpose of this article is to update the 2009 American College of Gastroenterology CRC screening guidelines. The guideline is framed around several key questions. We conducted a comprehensive literature search to include studies through October 2020. The inclusion criteria were studies of any design with men and women age 40 years and older. Detailed recommendations for CRC screening in average-risk individuals and those with a family history of CRC are discussed. We also provide recommendations on the role of aspirin for chemoprevention, quality indicators for colonoscopy, approaches to organized CRC screening and improving adherence to CRC screening. CRC screening must be optimized to allow effective and sustained reduction of CRC incidence and mortality. This can be accomplished by achieving high rates of adherence, quality monitoring and improvement, following evidence-based guidelines, and removing barriers through the spectrum of care from noninvasive screening tests to screening and diagnostic colonoscopy. The development of cost-effective, highly accurate, noninvasive modalities associated with improved overall adherence to the screening process is also a desirable goal.
Author Kahi, Charles J.
Sauer, Bryan G.
Burke, Carol A.
Rabeneck, Linda
Rex, Douglas K.
Shaukat, Aasma
AuthorAffiliation Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, Indiana, USA
Department of Medicine, University of Virginia, Charlottesville, Virginia, USA
Division of Gastroenterology, Cleveland Clinic, Cleveland, Ohio, USA
AuthorAffiliation_xml – name: Department of Medicine, University of Virginia, Charlottesville, Virginia, USA
– name: Division of Gastroenterology, Cleveland Clinic, Cleveland, Ohio, USA
– name: Department of Medicine, University of Toronto, Toronto, Ontario, Canada
– name: Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, Indiana, USA
Author_xml – sequence: 1
  givenname: Aasma
  surname: Shaukat
  fullname: Shaukat, Aasma
  organization: Division of Gastroenterology, Minneapolis Veterans Affairs Medical Center, University of Minnesota, Minneapolis, Minnesota, USA
– sequence: 2
  givenname: Charles J.
  surname: Kahi
  fullname: Kahi, Charles J.
  organization: Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, Indiana, USA
– sequence: 3
  givenname: Carol A.
  surname: Burke
  fullname: Burke, Carol A.
  organization: Division of Gastroenterology, Cleveland Clinic, Cleveland, Ohio, USA
– sequence: 4
  givenname: Linda
  surname: Rabeneck
  fullname: Rabeneck, Linda
  organization: Department of Medicine, University of Toronto, Toronto, Ontario, Canada
– sequence: 5
  givenname: Bryan G.
  surname: Sauer
  fullname: Sauer, Bryan G.
  organization: Department of Medicine, University of Virginia, Charlottesville, Virginia, USA
– sequence: 6
  givenname: Douglas K.
  surname: Rex
  fullname: Rex, Douglas K.
  organization: Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, Indiana, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33657038$$D View this record in MEDLINE/PubMed
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– reference: 35289558 - Am Fam Physician. 2022 Mar 1;105(3):327-329
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Snippet Colorectal cancer (CRC) is the third most common cancer in men and women in the United States. CRC screening efforts are directed toward removal of adenomas...
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SubjectTerms Adult
Aged
Aged, 80 and over
Colonoscopy
Colorectal cancer
Colorectal Neoplasms - diagnosis
Early Detection of Cancer
Family medical history
Female
Gastroenterology
Humans
Male
Medical screening
Middle Aged
Mortality
Occult Blood
Polyps
Tumors
Women
Title ACG Clinical Guidelines: Colorectal Cancer Screening 2021
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Volume 116
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