Fast Five Quiz: Colorectal Cancer Practice Essentials

Elwyn C. Cabebe, MD


June 17, 2022

According to a guidance statement from the ACP released in November 2019, clinicians should screen for colorectal cancer in average-risk adults aged 50-75 years. Other guidelines, such as those from the American Cancer Society (ACS), now recommend screening begin in average-risk adults at age 45 years.

The ACP suggests these screening tests and intervals:

  • Fecal immunochemical testing or high-sensitivity guaiac-based fecal occult blood testing: every 2 years

  • Colonoscopy: every 10 years (depending on findings)

  • Flexible sigmoidoscopy: every 10 years, plus fecal immunochemical testing every 2 years

The ACP recommends discontinuing screening for colorectal cancer in average-risk adults > 75 years or in adults with a life expectancy of ≤ 10 years. However, the ACS recommends that screening for average-risk adults aged 76-85 years should be tailored to individual preference, life expectancy, overall health, and prior screening history. The ACS guidelines suggest that colorectal cancer screening should be discontinued in adults > 85 years.

Learn more about colorectal cancer screening deadlines.


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