Targeting risk groups for screening

Currently colorectal cancer (CRC) screening guidelines are based on age and to some extent on family history of screenees only. Potentially CRC screening could be also customised according to gender, race, ethnicity, smoking habits, presence of obesity, diabetes and metabolic syndrome. The factors t...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2010-08, Vol.24 (4), p.407-416
Main Authors: Regula, Jaroslaw, MD PhD, Kaminski, Michal F., MD
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - prevention & control
Continental Population Groups
Early Detection of Cancer - standards
Ethnic Groups
Family medical history
Female
Gastroenterology and Hepatology
Health Behavior
Health care
Heredity
Humans
Life Style
Male
Mass Screening - methods
Mass Screening - standards
Middle Aged
Mutation
Practice Guidelines as Topic
Risk Assessment
Risk Factors
Screening
Sex Factors
Targeted screening
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Summary:Currently colorectal cancer (CRC) screening guidelines are based on age and to some extent on family history of screenees only. Potentially CRC screening could be also customised according to gender, race, ethnicity, smoking habits, presence of obesity, diabetes and metabolic syndrome. The factors that could be individually modified are: choice of screening test, age of initiation of screening and screening intervals. Gender is probably the easiest factor to be included. One of the professional societies has already included the race into guidelines in order to lower the age of starting screening in African–Americans. Targeting persons at higher than average-risk aims at optimising the use of available resources. However, an important drawback of such approach exists; it is the risk of making guidelines too complex and incomprehensible for both eligible screenees and physicians.
ISSN:1521-6918
1532-1916
DOI:10.1016/j.bpg.2010.06.007