Despite the decline in colorectal cancer (CRC) mortality over the past two decades, CRC remains the second leading cause of cancer deaths in the U.S.
While most cases of CRC are sporadic and increase with older age, screening is recommended for average-risk adults starting at age 45. Risk stratification for beginning CRC screening should take into account age, family history, predisposing hereditary CRC syndromes, prior screening and other CRC predisposing factors.
Author Dr. Rachel Issaka highlights 5 key takeaways when it comes to understanding your patients’ risk for colorectal cancer.
Who is considered average risk?
- All individuals without a personal or family history of CRC, inflammatory bowel disease, hereditary CRC syndromes or other CRC predisposing conditions
Who is considered at an increased risk?
- All individuals with a first-degree relative diagnosed with CRC, particularly before the age of 50
- All individuals with a personal or family history of CRC, inflammatory bowel disease, hereditary CRC syndromes or other CRC predisposing conditions
Best practice advice
Read the full AGA Clinical Practice Update on Risk Stratification for Colorectal Cancer Screening and Post-Polypectomy Surveillance: Expert Review, published in the November issue of Gastroenterology.
See the full 9 best practice advice statements on our clinical guidance page.
