Medicine

Updated Colorectal Cancer Screenings Guideline Lowers Age

Updated Colorectal Cancer Screenings Guideline Lowers Age

The American Cancer Society (ACS) announced Wednesday, March 30, that it has updated its guideline for colorectal cancer screening, changing the age people at average risk should begin screening from 50 to 45. Previously, the recommended age to begin screenings is 50, but increased rates of cancer and death in those younger than 50 have encouraged health care providers to revise the starting age.

The updated guidelines come in response to rising colorectal cancer rates and deaths in younger adults.

Despite the high cure rate when colon cancer is caught early, only one-third of the Americans over 50 get screened.

"But as we saw data pointing to a persistent trend of increasing colorectal cancer incidence in younger adults, including American Cancer Society research that indicated this effect would carry forward with increasing age, we chose to reevaluate the age to initiate screening in all USA adults".

The guideline suggests screening either through a high sensitivity stool-based test or visual examination such as colonoscopy that snakes a tiny camera through the rectum to view the colon to search for abnormal tissue growth.

For colorectal cancer, the American Cancer Society didn't push one screening option over another but listed various options: High-sensitivity stool tests, created to detect blood in feces, which need to be administered every year; a DNA stool test, sold under the brand name Cologuard, every three years; a colonoscopy, every 10 years; or a virtual colonoscopy or flexible sigmoidoscopy, every five years.

What explains the rise in colorectal cancer?

"It is the only one of those tests that actually prevents cancer. It is well established that the risk of CRC has been increasing dramatically in young adults (under age 50) over the last 15 years but the new ACS-commissioned analyses were the first to take race, gender, and this increased risk into account".

More news: Texas teen wins National Spelling Bee

"For the past, maybe as much as ten years, we're seeing younger and younger patients with advanced colon cancer", O'Neil said.

The same tests are recommended by the U.S. Preventive Services Task Force, a panel that reviews evidence and issues advice for a variety of screenings and treatments.

The qualified endorsement of screening at age 45 is reasonable and "will lead to a lot of discussion and investigation", said Douglas Rex, a professor of medicine at Indiana University. And they typically do not show the traditional risk factors - obesity, smoking, physical inactivity or high-fat diets.

Breedlove said she's heartened by the change but believes the guideline should go even lower.

"I think it's great that they are finally recognizing that colorectal cancer is being seen at younger ages and it's not any longer just being considered as the older man's disease", Georges said. The study then compared screening strategies starting at ages 40, 45 and 50 and stopping at ages 75, 80 and 85.

In a young person, Cercek noted, gastrointestinal symptoms likely stem from an infection or other non-cancerous condition.

Colonoscopy also carries risks, including bowel perforation and complications from anesthesia.


  • Mauricio Pochettino 'happy' at Tottenham - Premier League 2017

    Mauricio Pochettino 'happy' at Tottenham - Premier League 2017

    We say brief, but two and half years at Real Madrid is good going, with their notoriously impatient fans demanding constant success.
    Ranbir Kapoor confirms dating Alia Bhatt

    Ranbir Kapoor confirms dating Alia Bhatt

    Love is in the air for two of the most talented and cutest actors of the tinsel town, Alia Bhatt and Ranbir Kapoor . And now it seems that not just Alia and Ranbir, but the families are also happy with them seeing each other.
    Watch Cavs vs Warriors Online Free ABC Live Streaming NBA Finals Game

    Watch Cavs vs Warriors Online Free ABC Live Streaming NBA Finals Game

    With 36.4 seconds left, Kevin Durant was driving into the lane when James stepped in the lane in the hopes of drawing a charge. Smith appeared to forget the score in the final seconds of Game 1 of the Finals and dribbled out the clock with the game tied.
  • Spanish government falls, Socialist opposition leader takes power

    What happens next? Sanchez is expected to take office by Monday and his Cabinet to be appointed by next week. He is the first Spanish prime minister to lose such a vote since Spain transitioned to democracy in 1977.
    New report on childhood obesity asks education providers to help more

    New report on childhood obesity asks education providers to help more

    Obesity can lead to severe health problems and can also shorten a person's lifespan by ten years. Whereas 15,000 out of 629,000 children, aged four and five, are classed as severely obese .
    Apple won't announce new hardware at WWDC, rumor says

    Apple won't announce new hardware at WWDC, rumor says

    Though new MacBooks and iPads won't be on the docket, Bloomberg reports that a new Apple Watch design is in the works. Apple's top execs preview the company's upcoming operating systems and often reveal new services and products.
  • Villanova guard Donte DiVincenzo to remain in NBA Draft

    Villanova guard Donte DiVincenzo to remain in NBA Draft

    UCLA guard Kris Wilkes will skip next month's National Basketball Association draft and return to school for his sophomore season. Mikal Bridges and Jalen Brunson announced in early April they were both leaving college and signing with agents.
    In symbolic nod to India, US Pacific Command changes name

    In symbolic nod to India, US Pacific Command changes name

    Analysts believe that while symbolic for the moment, the name change also reflects India's growing regional importance. Diplomats will continue to work for peace, but will do so "from a position of strength", he said.
    United Kingdom  researchers first to 3D-print human corneas

    United Kingdom researchers first to 3D-print human corneas

    In major breakthrough scientists have 3D printed the thin protective layer over the eye, called the cornea, using human cells. They mixed the cornea stem cells with two different chemical components, alginate and collagen , to create "bio-ink".
  • Tristan Thompson Ejected From NBA Finals Game 1 For Apparent Elbow

    Tristan Thompson Ejected From NBA Finals Game 1 For Apparent Elbow

    But James was given a foul following a review with 36.4 seconds left and Durant converted a pair of free throws to tie it at 104. Game 7 of the Western Conference finals is a flawless example of how the Warriors can strike quickly.
    Brown, 76ers reportedly agree to 3-year extension

    Brown, 76ers reportedly agree to 3-year extension

    Importantly, the combination of his coaching and his interpersonal relationships the players didn't go unnoticed, as J.J. Philadelphia 76ers Head Coach Brett Brown on the touchline during the NBA London Game 2018 at the O2 Arena, London.
    Trump, Abe say 'imperative' to dismantle N. Korean weapons

    Trump, Abe say 'imperative' to dismantle N. Korean weapons

    Russian Federation is the latest major nation to reach out to North Korea since Trump accepted Kim's proposal for a summit. The meeting could take take place in NY , given movement restrictions for North Korean officials in the United States.