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Review

Colorectal cancer screening: Choosing the right test

Gautam Mankaney, MD, Richard Andrew Sutton, DO and Carol A. Burke, MD
Cleveland Clinic Journal of Medicine June 2019, 86 (6) 385-392; DOI: https://doi.org/10.3949/ccjm.86a.17125
Gautam Mankaney
Department of Gastroenterology and Hepatology, Digestive Disease & Surgery Institute, Cleveland Clinic
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  • For correspondence: [email protected]
Richard Andrew Sutton
Gastroenterology Fellow, University of Kansas Medical Center, Kansas City, KS
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Carol A. Burke
Vice Chair, Department of Gastroenterology and Hepatology, Digestive Disease & Surgery Institute, Cleveland Clinic
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    TABLE 1

    Options in colorectal cancer prevention and detection

    PreventionDetection
    Preferred:
     Colonoscopy every 10 years
    Preferred:
     Fecal immunochemical testing every year
    Alternatives:
     Flexible sigmoidoscopy every 5–10 years
     Computed tomographic colonography every 5 years
    Alternatives:
     Fecal occult blood testing every year
     Fecal DNA testing every 3 years
    • Adapted from American College of Gastroenterology guidelines, reference 8.

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    TABLE 2

    Quality indicators for colonoscopy

    Complete examination with photographic documentation achieved in ≥ 95% of screening colonoscopies, ≥ 90% of diagnostic colonoscopies
    Withdrawal time ≥ 6 minutes
    Adenoma detection rate ≥ 30% in men, ≥ 20% in women
    Adequate bowel preparation
    Excellent technical approach
    Complete polyp resection
    • Information from reference 57.

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Cleveland Clinic Journal of Medicine: 86 (6)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 6
1 Jun 2019
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Colorectal cancer screening: Choosing the right test
Gautam Mankaney, Richard Andrew Sutton, Carol A. Burke
Cleveland Clinic Journal of Medicine Jun 2019, 86 (6) 385-392; DOI: 10.3949/ccjm.86a.17125

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Colorectal cancer screening: Choosing the right test
Gautam Mankaney, Richard Andrew Sutton, Carol A. Burke
Cleveland Clinic Journal of Medicine Jun 2019, 86 (6) 385-392; DOI: 10.3949/ccjm.86a.17125
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  • Article
    • ABSTRACT
    • TRENDS IN INCIDENCE
    • SCREENING GUIDELINES
    • DISCUSSING THE OPTIONS
    • STARTING SCREENING AT AGE 45
    • PATIENT ADHERENCE IS KEY
    • REFERENCES
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