Start Colorectal Cancer Screening Earlier

02 June, 2018, 03:29 | Author: Inez Murphy
  • Colon cancer screening should begin at 45-American Cancer Society

"The American Cancer Society has made a fundamental change in their screening guidelines".

"I was surprised by the results, honestly", he said.

What are the signs of colon cancer? It has now lowered that to age 45. A study published today the journal Cancer ads this new data to the model used as a basis for the ACS guidelines, showing what it calls a "favorable balance between screening benefits and burden" with screening starting at age 45, five years younger than now recommended for both men and women of all races and ethnicities.

Outside of the cost and the frequency in which a test is recommended to be done, "all these tests are approximately equal in their value and can be offered", Wender said.

Cologuard is now available to individuals age 50 and older who are at average risk for colorectal cancer.

The recommendtions suggest that clinicians individualize colorectal cancer screening decisions for individuals ages 76 through 85, based on patient preferences, life expectancy, health status, and prior screening history.

And a recent study found adults born around 1990 are twice as likely to be diagnosed with colon cancer and four times as likely to be diagnosed with rectal cancer than adults born around 1950. In updated guidelines released Wednesday, it inched the recommended age to 45.

The move comes as a study https://onlinelibrary.wiley.com/doi/full/10.3322/caac.21457 showed that there has been a marked increase in colorectal cancer incidence, particularly rectal cancer, among younger individuals.

In the United States, colorectal cancer is the second-leading cause of cancer-related deaths among cancers that affect both men and women, according to the US Centers for Disease Control and Prevention. Rates of colon cancer have jumped in people under age 50, especially in the 40-49 age group. ACS represents one of several clinical guidelines for colorectal cancer screening. By 2030, 10.9 percent of all colon cancers and 22.9 percent of all rectal cancers will be diagnosed in patients younger than age 50.

The new recommendations apply to people at average risk for colon and rectal cancer. "Lowering the starting age is expected to benefit not only the segments of the population who suffer disproportionately from CRC - blacks, Alaska Natives, and American Indians - but also those individuals otherwise considered to be at average risk".

"Even if you're younger, if you're noticing that there's a change in your bowel habits or your stools and that something isn't right, then see your doctor", he said.

The G-BA therefore commissioned the German Institute for Quality and Efficiency in Health Care (IQWiG) to update a report from the year 2013 in an accelerated process known as "rapid report" on the following question: Can people under 55 years of age with a family history of colorectal cancer benefit from a screening test?

If this new guideline is adopted, lives will be saved. Two of the three models showed a "modest" benefit with colonoscopy every 15 years starting at age 45, whereas the third did not.

"It's hard enough to get people to do it at all", Plescia noted.

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