American Cancer Society advises colorectal screens at 45, not 50

American Cancer Society advises colorectal screens at 45, not 50

The updated guidelines come in response to rising colorectal cancer rates and deaths in younger adults.

For years, the American Cancer Society (ACS) and other medical groups have advised people at average risk of colon and rectal cancer to begin screening at age 50.

The guidelines also call for some people to continue screenings through age 85 instead of 75.

The updated ACS guidelines note that, "Although prevention is highly valued by patients, test preparation, invasiveness, potential costs, and other considerations will lead some patients to prefer a noncolonoscopy test for screening". Personal preferences, life expectancy and prior screening should all be considered.

USPSTF's 2016 recommendation was based on a review of the available evidence on benefits and harms of colorectal cancer screening, USPSTF Chairwoman Sue Curry said.

But, the ACS said, the higher rate among people in their early 50s is partly because they have more early cancers detected through screening.

The numbers: this year more than 130,000 people be diagnosed with colorectal cancer, and more than 50,000 will die from it. "Whether it's 45 or 50, the most important thing is for people to get screened and keep screening". The recommendation for regular screening in adults aged 50 years and older is designated as a 'strong recommendation, ' on the basis of the greater strength of the evidence, as well as the overall benefit. Others include a yearly stool test looking for hidden blood, or a DNA-based stool test done every three years.

The new advice was issued by the American Cancer Society on Wednesday. It's a polyp. And nearly all colorectal cancers develop from polyps.

More news: Tom Arnold Thinks Roseanne Wanted Her Show To Get Cancelled

"Incorporating this epidemiological shift into contemporary modeling of CRC screening demonstrated that the benefit-burden balance is improved by lowering the age to initiate CRC screening to 45 years".

"At the time of the Task Force's review, there was limited data on screening adults younger than age 50". Fritsche went in for his first screening colonoscopy at 50 but discovered he already had advanced colon cancer.

A colonoscopy is not the only effective screening tool. But since 1994, there has been a 51 percent increase in colorectal cancer among those under age 50.

"Even if you're younger, if you're noticing that there's a change in your bowel habits or your stools and that something isn't right, then see your doctor", he said.

The World Health Organization reports colorectal cancer, including colon and rectal cancers, is the second leading cause of death in the US for cancers affecting men and women.

"As a practitioner, we've been seeing colon cancer in younger and younger people over the last 10 or 15 years", said Dr. John Tyler Baber, a gastroenterologist for CHI St. Vincent.

"It's not just that you would catch the younger people with cancer but that you would actually catch the younger people with just a polyp that can be removed at the time of colonoscopy, and they never get a cancer". And some will cover stool testing, but refuse to cover follow-up colonoscopies for those with abnormal results, he said.

Related Articles