Screening Guidelines Flashcards
What is the recommendation for screening adults ages 60-74 for CRC?
Screening with FOBT (either gFOBT or FIT) every 2 years or flexible sigmoidoscopy every 10 years.
Strong recommendation; moderate quality evidence.
What is the recommendation for screening adults ages 50-59 for CRC?
Screening with FOBT (either gFOBT or FIT) every 2 years or flexible sigmoidoscopy every 10 years.
Weak recommendation; moderate quality evidence.
What is the recommendation for screening adults ages over 75 for CRC?
Not recommended for screening.
Weak recommendation; low quality evidence.
Is colonoscopy recommended as a screening test for CRC?
Not recommended as a screening test in general population
Weak recommendation; low quality evidence.
What indicates a patient is at increased risk for colorectal cancer?
One or more first-degree relatives with colorectal cancer.
When should a colonoscopy start for patients at increased risk?
At age 50, or 10 years earlier than the age their relative was diagnosed, whichever occurs first.
What should be done if a hereditary cancer syndrome is suspected?
Refer for genetic assessment.
What should be done if a patient has symptoms like rectal bleeding or anemia?
Refer to specialist for evaluation.
Should FIT be used for symptomatic patients?
No, do not use FIT for symptomatic patients.
What tests are not recommended for colorectal cancer screening in patients at average risk?
Colonoscopy.
What tests are not recommended for colorectal cancer screening for all patients?
Metabolomic tests, DNA tests, computed tomography colonography, capsule colonoscopy, double contrast barium enema, guaiac fecal occult blood test.
What is Familial Adenomatous Polyposis (FAP) screening recommendation?
Individuals with FAP should begin colonoscopy screening in their teenage years, typically around age 10-12, and continue with annual colonoscopies due to the high risk of developing colorectal cancer.
What is the screening recommendation for Juvenile Polyposis Syndrome (JPS)?
Screening colonoscopy should start at about age 15. If polyps are found, repeat annually; if no polyps are found, repeat every 2-3 years. The frequency may decrease after age 35 if no polyps are detected.
What is the screening recommendation for Lynch Syndrome (HNPCC)?
Screening should start at age 20-25, or 2-5 years earlier than the youngest case in the family if it is diagnosed before age 25. Colonoscopy should be performed every 1-2 years.
What is the screening recommendation for Ulcerative Colitis and Crohn’s Disease?
Screening should occur every 1-2 years after 8 years of symptoms’ onset.
