Screening to be or not to be?

9 Apr, 2022 | admin | No Comments

Screening to be or not to be?

Of course, be.

🔸But at what age?

On August 28, 2020, Chadwick Boseman, known for his role as the king of the fictional country of Wakanda, a Marvel superhero named “Black Panther”, passed away from colon cancer.

He was 43 years old.

There is growing evidence of an increase in colorectal cancer (CRC) among young people.

The US Preventive Services Task Force has developed draft guidelines for CRC screening and for public comment by 23 November this year. Simulation models were used to support epidemiological data.

🔸What’s new versus 2016 recommendations?

Screening should start at age 45, not 50 (which is also in line with the American Cancer Society guidelines).

▫️ Category “A” recommendation for adults aged 50-75.

▫️ Category B recommendation for adults aged 45-49.

▫️Category C recommendation for adults aged 76-85 (general health, personal circumstances, risk / benefit ratio should be considered).

🔸What kind of screening is recommended?

Both direct imaging (colonoscopy) and non-invasive stool tests are suitable.

▫️NOT recommended: serum, urine tests, capsule endoscopy (insufficient evidence of benefits and harms).

If you are 45 years old, then it’s time to think.