Revised Colorectal Screening Guidelines: Joint Effort of the American Cancer Society, U.S. Multisociety Task Force on Colorectal Cancer, and American College of Radiology

McFarland, Elizabeth G.; Levin, Bernard; Lieberman, David A.; Pickhardt, Perry J.; Johnson, Charles D.; Glick, Seth N.; Brooks, Durado; Smith, Robert A.

doi:10.1148/radiol.2483080842

Cited by 70 publications

(39 citation statements)

References 12 publications

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“…Separate questions were asked about home FOBT, described as a blood stool test using a home test kit, and office FOBT, described as a blood stool test in which a doctor or other health care professional collects a stool sample during an office visit. In our primary analysis, we only include information on use of home FOBT, not office FOBT, because national guidelines recommend use of home FOBT (1, 8). We analyzed use of CT colonography separately because it is not recommended for CRC screening by the USPSTF (1).…”

Section: Methodsmentioning

confidence: 99%

“…For adults older than 85 years, the USPSTF recommends against CRC screening (1). Recommendations from other organizations have not specified an age to stop CRC screening (8). …”

Section: Introductionmentioning

confidence: 99%

“…In its most recent update, the USPSTF concluded that there is insufficient evidence to recommend CT colonography for CRC screening (1). However, other organizations have recommended CT colonography every 5 years as a CRC screening option (8). In the National CT Colonography Trial of the American College of Radiology Imaging Network (ACRIN), CT colonography identified 90% of subjects with large adenomas or cancers on colonoscopy but had a lower sensitivity for smaller CRC lesions (9).…”

Section: Introductionmentioning

confidence: 99%

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Patterns of Colorectal Cancer Test Use, Including CT Colonography, in the 2010 National Health Interview Survey

Shapiro

Klabunde

Thompson

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

179

154

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Background Recommended colorectal cancer (CRC) screening tests for adults ages 50 to 75 years include home fecal occult blood tests (FOBT), sigmoidoscopy with FOBT, and colonoscopy. A newer test, computed tomographic (CT) colonography, has been recommended by some, but not all, national organizations. Methods We analyzed 2010 National Health Interview Survey data, including new CT colonography questions, from respondents ages 50 to 75 years (N =8,952). We (i) assessed prevalence of CRC test use overall, by test type, and by sociodemographic and health care access factors and (ii) assessed reported reasons for not having a CRC test. Results The age-standardized percentage of respondents reporting FOBT, sigmoidoscopy, or colonoscopy within recommended time intervals was 58.3% [95% confidence interval (CI), 57.0–59.6]. Colonoscopy was the most commonly reported test [within past 10 years: 54.6% (95% CI, 53.2–55.9)]. Home FOBT and sigmoidoscopy with FOBT were less frequently used [FOBT within past year: 8.8% (95% CI, 8.1–9.6); sigmoidoscopy within past 5 years with FOBT within past 3 years: 1.3% (95% CI, 1.0–1.6)]. CT colonography was rare: 1.3% (95% CI, 1.0–1.7). Increasing age, education, income, having health care insurance, and having a usual source of health care were associated with higher CRC test use. Test use within recommended time intervals was particularly low among individuals ages 50 to 64 years without health care insurance [21.2% (95% CI, 18.3–24.4)]. The most common reason for nonuse was “no reason or never thought about it.” Conclusions About 40% of Americans ages 50 to 75 years do not meet the recommendations for having CRC screening tests. Impact Expanded health care coverage and greater awareness of CRC screening are needed to further decrease CRC mortality.

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Section: Methodsmentioning

confidence: 99%

“…For adults older than 85 years, the USPSTF recommends against CRC screening (1). Recommendations from other organizations have not specified an age to stop CRC screening (8). …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patterns of Colorectal Cancer Test Use, Including CT Colonography, in the 2010 National Health Interview Survey

Shapiro

Klabunde

Thompson

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

179

154

View full text Add to dashboard Cite

show abstract

“…Recent studies have confirmed that when CTC is properly performed and evaluated, a high diagnostic accuracy can be achieved for clinically significant polyps and colorectal cancer. This has resulted in CTC being approved for colorectal cancer screening and surveillance by the American Cancer Society, the American College of Radiology and the US MultiSociety Task Force on colorectal cancer [18][19][20]71,72] . However, CTC is not currently reimbursed for routine colorectal cancer screening in the United States and this has undeniably reduced its widespread use in this part of the world.…”

Section: Resultsmentioning

confidence: 99%

“…Both the American College of Radiology and American Cancer Society have approved CTC for colorectal cancer screening in patients older than 50 years old, those with a positive fecal occult blood test or individuals at moderate risk with a personal history of adenoma or colorectal cancer or with family history of adenoma or cancer in a first degree relative [18][19][20] . High risk individuals with hereditary non polyposis colorectal cancer are better evaluated with OC as there is a high pretest probability of identifying polyps/tumors in this group and hence biopsy or polypectomy may be performed at the same sitting.…”

Section: Indications and Contraindications For Ctcmentioning

confidence: 99%

Virtual colonoscopy: Utility, impact and overview

Ganeshan¹

2013

WJR

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Computed tomography (CT) colonoscopy is a well-established technique for evaluation of colorectal cancer. Significant advances have been made in the technique of CT colonoscopy since its inception. Excellent results can be achieved in detecting both colorectal cancer and significant sized polyps as long as a meticulous technique is adopted while performing CT colonoscopy. Furthermore, it is important to realize that there is a learning curve involved in interpreting these studies and adequate experience is essential to achieve high sensitivity and specificity with this technique. Indications, contraindications, technique and interpretation, including potential pitfalls in CT colonoscopy imaging, are reviewed in this article. Recent advances and the current role of CT colonoscopy in colorectal cancer screening are also discussed.

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An entertainment‐education colorectal cancer screening decision aid for African American patients: A randomized controlled trial

Hoffman

Lowenstein

Kamath

et al. 2016

Cancer

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BACKGROUND Colorectal cancer screening rates for African American patients remain sub-optimal. Patient decision aids designed with an entertainment-education approach have been shown to improve saliency and foster informed decision making. The purpose of this investigation was to assess whether an entertainment-education decision aid tailored for African American patients improved patients’ decision making, attitudes, intentions, or colorectal cancer screening behavior. METHODS Eighty-nine participants were randomized to view a patient decision aid video containing culturally-tailored information about colorectal cancer screening options and theory-based support in decision making, presented in an entertainment-education format, or an attention-control video about hypertension that contained similarly-detailed information. Participants met with their clinician and then completed follow-up questionnaires assessing their knowledge, decisional conflict, self-advocacy, attitudes, perceived social norms, and intentions. At three months, completion of screening was assessed by chart review. RESULTS Viewing the culturally-tailored decision aid significantly increased African American patients’ knowledge of colorectal cancer screening recommendations and options. It also significantly reduced their decisional conflict and improved their self-advocacy. No significant differences were observed in participants’ attitudes, norms, or intentions. At three months, 23% of all patients had completed a colonoscopy. CONCLUSIONS Designing targeted, engaging patient decision aids for groups that receive sub-optimal screening holds promise for improving patient decision making and self-advocacy, and additional research is warranted to investigate their effectiveness in clinical practices with sub-optimal screening rates, and on downstream behaviors such as repeat testing.

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Revised Colorectal Screening Guidelines: Joint Effort of the American Cancer Society, U.S. Multisociety Task Force on Colorectal Cancer, and American College of Radiology

Cited by 70 publications

References 12 publications

Patterns of Colorectal Cancer Test Use, Including CT Colonography, in the 2010 National Health Interview Survey

Patterns of Colorectal Cancer Test Use, Including CT Colonography, in the 2010 National Health Interview Survey

Virtual colonoscopy: Utility, impact and overview

An entertainment‐education colorectal cancer screening decision aid for African American patients: A randomized controlled trial

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