
Expert guidance has been provided on the early detection of colorectal cancer and on treatment and posttreatment follow-up; the two guidelines were recently published online in the Journal of Global Oncology. Gilberto Lopes, M.D., from the University of Miami, and colleagues identified and reviewed guidelines and used evidence from cost-effectiveness analyses to develop recommendations on the early detection of colorectal cancer. The authors recommend a guaiac fecal occult blood test and fecal immunochemical testing (basic), flexible sigmoidoscopy (add option in limited), and colonoscopy (add option in enhanced) for patients who are asymptomatic, aged 50 to 75 years, have no family history of colorectal cancer, are at average risk, and are in settings with high incidences of colorectal cancer. For persons with positive screens, the optimal reflex testing strategy is endoscopy or barium enema endoscopy is not available.
Source: Oncology Nurse Advisor







