scholarly journals What Should We Recommend for Colorectal Cancer Screening in Adults Aged 75 and Older?

2021 ◽  
Vol 28 (4) ◽  
pp. 2540-2547
Author(s):  
Anuj Arora ◽  
Sami A Chadi ◽  
Tyler Chesney
Keyword(s):  
Colorectal Cancer ◽  
Older Adults ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Treatment Options ◽  
Management Strategies ◽  
Current Recommendation ◽  
Patient Centered ◽  
Screening Guidelines ◽  
New Guidelines

The current recommendation to stop colorectal cancer screening for older adults is based on a lack of evidence due to systematic exclusion of this population from trials. Older adults are a heterogenous population with many available strategies for patient-centered assessment and decision-making. Evolutions in management strategies for colorectal cancer have made safe and effective options available to older adults, and the rationale to screen for treatable disease more reasonably, especially given the aging Canadian population. In this commentary, we review the current screening guidelines and the evidence upon which they were built, the unique considerations for screening older adults, new treatment options, the risks and benefits of increased screening and potential considerations for the new guidelines.

Colorectal Cancer Screening Guidelines Are Primarily Based on Low–Moderate-Quality Evidence

2021 ◽  
Author(s):  
Simcha Weissman ◽  
Alexander Goldowsky ◽  
Muhammad Aziz ◽  
Tej I. Mehta ◽  
Sachit Sharma ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Guidelines ◽  
Moderate Quality ◽  
Quality Evidence

Altering risk perception increases compliance with colorectal cancer screening guidelines

2000 ◽  
Vol 118 (4) ◽  
pp. A262 ◽  
Author(s):  
Seth Lapin ◽  
Muhammad Abdullah ◽  
Jane Vlodov ◽  
Ephraim Mandell ◽  
Hari K. Manne ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Risk Perception ◽  
Colorectal Cancer Screening ◽  
Screening Guidelines

scholarly journals Colorectal Cancer Screening: Knowledge and Practice among Private General Practitioners in Northeast Peninsular Malaysia

2021 ◽  
Vol 13 (1) ◽  
pp. 43-55
Author(s):  
Masliza Yusoff ◽  
Faridah Mohd Zin ◽  
Norwati Daud ◽  
Harmy Mohamed Yusoff ◽  
Nani Draman
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
General Practitioners ◽  
Good Practice ◽  
Occult Blood ◽  
Peninsular Malaysia ◽  
Average Risk ◽  
Current Recommendation ◽  
Knowledge And Practice

Colorectal cancer screening is an important screening to detect colorectal cancer. Thus, the aim of this study is to determine the knowledge, practice and its associated factors of colorectal cancer screening among private general practitioners (PGPs) in Northeast Peninsular Malaysia. Crosssectional study was conducted involving 127 PGPs in Kelantan. The study used a validated selfadministrated questionnaire that contained three domains. The domains were sociodemographic, knowledge and practice of colorectal cancer screening. The inclusion criterion was doctors working in a private clinic for more than six months, while the exclusion criteria were non-residential doctors and doctors practicing in private specialised clinics. Only 21.3% of PGPs had good knowledge and 3.9% had good practice on colorectal cancer screening. The duration of practice as a PGP was significantly associated with good practice for colorectal cancer screening. Only 58.3% were aware of the current recommendation on colorectal cancer screening. Most PGPs would refer patients for a colonoscopy, but screening with faecal occult blood test (FOBT) in average-risk patients was low. Only 4% of PGPs followed the recommended guidelines for colorectal cancer screening. The main reasons for not offering FOBT screening were patients’ refusal, patients were not regular patients of the doctor and the referral system for colonoscopy was found to be difficult. This study noted that knowledge and practice of colorectal cancer screening among PGPs were inadequate. Overcoming barriers for screening is important to promote colorectal cancer screening.

A Review of Breast, Cervical, and Colorectal Cancer Screening Interventions in Older Women

2005 ◽  
Vol 12 (4_suppl) ◽  
pp. 58-69 ◽  
Author(s):  
Janice V. Bowie ◽  
Barbara A. Curbow ◽  
Mary A. Garza ◽  
Erin K. Dreyling ◽  
Lisa A. Benz Scott ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Older Women ◽  
Colorectal Cancer Screening ◽  
Intervention Studies ◽  
The United States ◽  
Community Based ◽  
Screening Guidelines ◽  
Periodic Testing ◽  
Effective Community

Although cancer-screening guidelines recommend periodic testing for women 50 years of age and older, these tests are underused. A search of databases identified 156 community-based breast, cervical, and colorectal cancer screening intervention studies published before April 2003. Most were conducted in the United States. More than half used randomization procedures or pre-post measures, and one third used both. Most reported significant intervention effects. Cervical and combined cervical and breast studies had higher rates of pre-post designs, and breast studies had the highest percentage using randomization. Although effective community-based breast and cervical interventions have been conducted, there is an urgent need for amplification of colorectal cancer screening.

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