Fast Five Quiz: Colorectal Cancer Practice Essentials

Elwyn C. Cabebe, MD

Disclosures

February 06, 2020

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 older than 75 years or in adults with a life expectancy of 10 years or less. 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 older than 85 years.

Read more about guidelines for colorectal cancer screening.

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