Colon Cancer Screening – USPSTF 2016

USPSTF 2016: updated recommendations for colorectal cancer screening
Clinical Question:
Should we routinely screen for colorectal cancer in adults and, if so, at what ages?
Bottom Line:
The U.S. Preventive Services Task Force (USPSTF) concludes there is convincing evidence that screening for colorectal cancer starting at age 50 years and continuing
through age 75 years provides substantial health benefits (“A”
recommendation). Multiple screening strategies are available and there is
no evidence that any of the strategies provide a greater net benefit than
any others. Thus, clinicians should focus on maximizing the total number of
persons screened, with the method based on patient preference and local
availability, to have the largest effect on reducing colorectal cancer deaths. No method of screening has been shown to reduce all-cause mortality. The decision to screen for colorectal cancer in adults aged 76 years to 85 years should be made on an individual patient basis (“C”recommendation). This updated recommendation is consistent with and updates the previous USPSTF recommendation on colorectal cancer screening
in 2008. (LOE = 2c)

Bibbins-Domingo K; US Preventive
Services Task Force. Screening for colorectal cancer: US Preventive

Services Task Force recommendation statement. JAMA 2016;315(23):2564-2575.

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