Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology Journal Article
| Authors: | Levin, B.; Lieberman, D. A.; McFarland, B.; Andrews, K. S.; Brooks, D.; Bond, J.; Dash, C.; Giardiello, F. M.; Glick, S.; Johnson, D.; Johnson, C. D.; Levin, T. R.; Pickhardt, P. J.; Rex, D. K.; Smith, R. A.; Thorson, A.; Winawer, S. J. |
| Article Title: | Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology |
| Abstract: | In the United States, colorectal cancer (CRC) is the third most common cancer diagnosed among men and women and the second leading cause of death from cancer. CRC largely can be prevented by the detection and removal of adenomatous polyps, and survival is significantly better when CRC is diagnosed while still localized. In 2006 to 2007, the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology came together to develop consensus guidelines for the detection of adenomatous polyps and CRC in asymptomatic average-risk adults. In this update of each organization's guidelines, screening tests are grouped into those that primarily detect cancer early and those that can detect cancer early and also can detect adenomatous polyps, thus providing a greater potential for prevention through polypectomy. When possible, clinicians should make patients aware of the full range of screening options, but at a minimum they should be prepared to offer patients a choice between a screening test that primarily is effective at early cancer detection and a screening test that is effective at both early cancer detection and cancer prevention through the detection and removal of polyps. It is the strong opinion of these 3 organizations that colon cancer prevention should be the primary goal of screening. © 2008 AGA Institute and American Cancer Society, Inc. |
| Keywords: | united states; cancer diagnosis; diagnostic accuracy; colorectal cancer; quality control; cancer prevention; morbidity; cancer screening; mass screening; practice guideline; diagnostic imaging; cancer mortality; time factors; colorectal neoplasms; societies, medical; colonoscopy; practice guidelines as topic; medical society; cancer epidemiology; health care organization; population surveillance; gastrointestinal endoscopy; polypectomy; dna determination; sigmoidoscopy; occult blood; feces analysis; guaiac; adenomatous polyp; colon biopsy; barium enema; adenomatous polyposis coli |
| Journal Title: | Gastroenterology |
| Volume: | 134 |
| Issue: | 5 |
| ISSN: | 0016-5085 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2008-05-01 |
| Start Page: | 1570 |
| End Page: | 1595 |
| Language: | English |
| DOI: | 10.1053/j.gastro.2008.02.002 |
| PUBMED: | 18384785 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 399" - "Export Date: 17 November 2011" - "CODEN: GASTA" - "Source: Scopus" |
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