Colorectal Cancer Screening!

WHY DOES IT MATTER?

Colorectal cancer (CRC) kills! And CRC screening saves lives!

  • 2nd leading cause of cancer death in US (per USPSTF)
  • 53,000 deaths this year
  • We can do better!

1/3 of eligible US adults have never been screened!


GUIDELINES!

2016 USPSTF guidelines

  • 50-75yo: Screen for CRC starting at age 50yo (Grade A recommendation)
  • 76-85yo: The decision to screen for CRC is an individual one (Grade C)

SCREENING OPTIONS!

  • Stool-Based:
    • gFOBT, FIT, FIT-DNA
    • no bowel prep, non-invasive, done at home!
  • Direct Visualization:
    • Colonoscopy, Flexible sigmoidoscopy, CT colonography
    • Less frequent, no contact with stool, providers frequently recommend
  • Serology: SEPT9 DNA Test

Check out the USPSTF’s comparison of the benefits of various screening methods


PEARLS!


SUMMARY

  • CRC kills and we can help just by getting people screened
  • Screen 50-75yo, and talk about it with your patients
  • The best test is the test that gets completed!
  • Give patients options, education and reminders
  • Adapt to their needs (i.e. remind patients that pandemic-compatible screening options exist)

*Blog post based on Med-Peds Forum talk by Tamara Lhungay, PGY1