New guidance from the American College of Physicians advises doctors to evaluate each patient’s individual risk and base colorectal cancer screening on that assessment.
The four point guidance statement says:
- Clinicians should perform an individual colorectal cancer risk assessment for all adults.
- Average risk adults should be screened at age 50. Individuals at high risk should begin screening at age 40 or 10 years before the youngest relative was diagnosed with colorectal cancer.
- Average risk individuals should be screened with a stool-based test, flexible sigmoidoscopy, or optical colonoscopy. Colonoscopy should be used to screen patients who are at high risk.
- Clinicians should stop screening for patients over 75 or adults with less than 10 years of life expectancy. Read the rest of this entry »