To Screen or Not to Screen Adults 45-49 Years of Age: That is the Question

被引:32
作者
Anderson, Joseph C. [1 ,2 ,3 ]
Samadder, N. Jewel [4 ]
机构
[1] Dartmouth Coll, Hanover, NH 03755 USA
[2] White River Junct VAMC, Farmington, CT 05009 USA
[3] UCONN Hlth Ctr, Farmington, CT 06030 USA
[4] Mayo Clin, Phoenix, AZ 85013 USA
关键词
COLORECTAL-CANCER INCIDENCE; AMERICAN-COLLEGE; UNITED-STATES; YOUNG; COLONOSCOPY; GASTROENTEROLOGY; INCREASE; OUTCOMES; RATES; TIME;
D O I
10.1038/s41395-018-0402-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Should we adopt the recently published American Cancer Society (ACS) recommendations to screen adults at 45 years of age? The main reasons for adopting the recommendation include the increase of colorectal cancer (CRC) in the young, especially late-stage tumors. Screening at 45 years is also supported by predictive modeling, which the ACS employed using updated and improved models as compared to those previously used by the United States Preventive Services Task Force. Reasons against adopting include concerns with the models as well as diversion of scarce screening resources away from high-risk populations. Readers are provided with opposing viewpoints regarding the ACS recommendation.
引用
收藏
页码:1750 / 1753
页数:4
相关论文
共 30 条
[1]
The Increasing Incidence of Young-Onset Colorectal Cancer: A Call to Action [J].
Ahnen, Dennis J. ;
Wade, Sally W. ;
Jones, Whitney F. ;
Sifri, Randa ;
Silveiras, Jose Mendoza ;
Greenamyer, Jasmine ;
Guiffre, Stephanie ;
Axilbund, Jennifer ;
Spiegel, Andrew ;
You, Y. Nancy .
MAYO CLINIC PROCEEDINGS, 2014, 89 (02) :216-224
[2]
[Anonymous], HLTH CAR GUID COL CA
[3]
Changes in colorectal cancer incidence rates in young and older adults in the United States: what does it tell us about screening [J].
Austin, Harland ;
Henley, S. Jane ;
King, Jessica ;
Richardson, Lisa C. ;
Eheman, Christie .
CANCER CAUSES & CONTROL, 2014, 25 (02) :191-201
[4]
Clinical and molecular features of young-onset colorectal cancer [J].
Ballester, Veroushka ;
Rashtak, Shahrooz ;
Boardman, Lisa .
WORLD JOURNAL OF GASTROENTEROLOGY, 2016, 22 (05) :1736-1744
[5]
Advanced-Stage Colorectal Cancer in Persons Younger Than 50 Years Not Associated With Longer Duration of Symptoms or Time to Diagnosis [J].
Chen, Frank W. ;
Sundaram, Vandana ;
Chew, Thomas A. ;
Ladabaum, Uri .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2017, 15 (05) :728-+
[6]
Young-onset colorectal cancer in patients with no known genetic predisposition - Can we increase early recognition and improve outcome? [J].
Dozois, Eric J. ;
Boardman, Lisa A. ;
Suwanthanma, Weerapat ;
Limburg, Paul J. ;
Cima, Robert R. ;
Bakken, Julie L. ;
Vierkant, Robert A. ;
Aakre, Jeremiah A. ;
Larson, David W. .
MEDICINE, 2008, 87 (05) :259-263
[7]
PROJECTING INDIVIDUALIZED PROBABILITIES OF DEVELOPING BREAST-CANCER FOR WHITE FEMALES WHO ARE BEING EXAMINED ANNUALLY [J].
GAIL, MH ;
BRINTON, LA ;
BYAR, DP ;
CORLE, DK ;
GREEN, SB ;
SCHAIRER, C ;
MULVIHILL, JJ .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1989, 81 (24) :1879-1886
[8]
Colorectal cancer, screening and primary care: a mini literature review [J].
Hadjipetrou, Athanasios ;
Anyfantakis, Dimitrios ;
Galanakis, Christos G. ;
Kastanakis, Miltiades ;
Kastanakis, Serafim .
WORLD JOURNAL OF GASTROENTEROLOGY, 2017, 23 (33) :6049-6058
[9]
Colorectal Cancer Screening: Estimated Future Colonoscopy Need and Current Volume and Capacity [J].
Joseph, Djenaba A. ;
Meester, Reinier G. S. ;
Zauber, Ann G. ;
Manninen, Diane L. ;
Winges, Linda ;
Dong, Fred B. ;
Peaker, Brandy ;
van Ballegooijen, Marjolein .
CANCER, 2016, 122 (16) :2479-2486
[10]
The American College of Gastroenterology and the 80% by 2018 Colorectal Cancer Initiative: A Multifaceted Approach to Maximize Screening Rates [J].
Karlitz, Jordan J. ;
Oliphant, Anne-Louise B. ;
Greenwald, David A. ;
Pochapin, Mark B. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2017, 112 (09) :1360-1362