Recommendation

The USPSTF strongly recommends screening for colorectal cancer in men and women 50 years to 75 years using FOBT, sigmoidoscopy, or colonoscopy. Screening may be initiated earlier for those with risk factors (e.g., 10 years before earliest diagnosis of family member). Screening methods include FOBT, flexible sigmoidoscopy, and colonoscopy (USPSTF,

2008). Unless individual risk factors indicate otherwise, there is insufficient evidence to continue screening after age 75. The American Academy of Family Physicians (AAFP), American College of Obstetrics and Gynecology (ACOG), and American College of Surgeons support similar recommendations (Pignone et al., 2002b).

The American Cancer Society (ACS) recommends screening average-risk adults beginning at age 50 with yearly FOBT or fecal immunochemical test annually, a flexible sigmoido-scope examination every 5 years, an FOBT plus flexible sig-moidoscopy every 5 years, a double-contrast barium enema every 5 years, a CT colonography every 5 years, or a colonos-copy every 10 years.

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