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Colorectal cancer screening and surveillance: Clinical guidelines and rationale?Update based on new evidence by S WINAWER is a Medicine article available to read on EtoBox.

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We have updated guidelines for screening for colorectal cancer. The original guidelines were prepared by a panel convened by the U.S. Agency for Health Care Policy and Research and published in 1997 under the sponsorship of a consortium of gastroenterology societies. Since then, much has changed, both in the research literature and in the clinical context. The present report summarizes new developments in this field and suggests how they should change practice. As with the previous version, these guidelines offer screening options and encourage the physician and patient to decide together which is the best approach for them. The guidelines also take into account not only the effectiveness of screening but also the risks, inconvenience, and cost of the various approaches. These guidelines differ from those published in 1997 in several ways: we recommend against rehydrating fecal occult blood tests; the screening interval for double contrast barium enema has been shortened to 5 years; colonoscopy is the preferred test for the diagnostic investigation of patients with findings on screening and for screening patients with a family history of hereditary nonpolyposis colorectal cancer; r

Who reads Colorectal cancer screening and surveillance: Clinical guidelines and rationale?Update based on new evidence?

Author

S WINAWER

Publisher

Elsevier BV

Published

2003

Language

EN

Field

Medicine (Health Sciences)