Do Recent Epidemiologic Observations Impact Who and How We Should Screen for CRC?

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• 作者：Ethan Bortniker (3)
  Joseph C. Anderson (1) (2)
  
  3. Division of Gastroenterology and Hepatology ; University of Connecticut School of Medicine ; Farmington ; CT ; 06030 ; USA
  1. Department of Veterans Affairs Medical Center ; White River Junction ; VT ; USA
  2. The Geisel School of Medicine at Dartmouth ; Hanover ; NH ; USA
  
• 关键词：Colorectal neoplasia ; Risk factors ; Models ; Colonoscopy
• 刊名：Digestive Diseases and Sciences
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：60
• 期：3
• 页码：781-794
• 全文大小：271 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gastroenterology
  Hepatology
  Oncology
  Transplant Surgery
  Biochemistry
  
• 出版者：Springer Netherlands
• ISSN：1573-2568

文摘

Colorectal cancer (CRC) screening is recommended to begin at age 50 for those patients with no significant family history of CRC. However, even within this group of average-risk patients, there is data to suggest that there may be variation in CRC risk. These observations suggest that perhaps CRC screening should be tailored to target those patients at higher risk for earlier or more invasive screening as compared to those individuals at lower risk. The strategy of how to identify those higher-risk patients may not be straightforward. One method might be to use single risk factors such as smoking or elevated BMI as has been suggested in the recent American College of Gastroenterology CRC screening guidelines. Another paradigm involves the use of models which incorporate several risk factors to stratify patients by risk. This article will highlight recent large studies that examine recognized CRC risk factors as well as review recently developed CRC risk models. There will also be a discussion of the application of these factors and models in an effort to make CRC screening more efficient.