Cancer group says colon screening should start at 45, not 50

Cancer group says colon screening should start at 45, not 50

People with a family history of colorectal cancer are already advised to start getting screening tests before age 50. Worldwide, nearly 850,000 people will die of colorectal cancer annually.

Colon cancer is not just a disease of older people.

The new recommended age is for people at an average risk. Recent studies have shown that the risk of colorectal cancer is double for someone born in 1990 compared to someone born in 1950. "It's what we call a birth cohort effect". "And we don't really know why".

As a part of the screening process, all positive results on non-colonoscopy screening tests should be followed up with timely colonoscopy. To have that revised, Exact would have to conduct a new study for the younger age group, Weinstein said, in a research note. "We believe that Cologuard's performance, coupled with the fact that it is non-invasive and performed conveniently at home with no time off work and without any special prep requirements, would make it an ideal screening choice for individuals ages 45 to 50". Others include a yearly stool test looking for hidden blood, or a DNA-based stool test done every three years.

A colonoscopy is not the only effective screening tool.

The new guideline is partly based on data showing rates of colorectal cancer on the rise in young and middle-aged populations. "So there may be some other factors that we don't understand". Still, you should check with your insurance provider to see what they cover before you schedule a colonoscopy.

The guidelines, released Wednesday, were published in CA: A Cancer Journal for Clinicians, a peer-reviewed journal of the American Cancer Society.

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"Incorporating this epidemiological shift into contemporary modeling of CRC screening demonstrated that the benefit-burden balance is improved by lowering the age to initiate CRC screening to 45 years".

Doctors will probably look to specialty medical societies to sort out the different guidelines, said Dr. Marcus Plescia, of the Association of State and Territorial Health Officials.

"For the past, maybe as much as ten years, we're seeing younger and younger patients with advanced colon cancer", O'Neil said. "The evidence is now absolutely clear, and I can't emphasize how carefully this was done". "Today's announcement recognizes the benefits of recommending screening for younger adults, particularly given the mounting evidence that the incidence of this disease is increasing for people under age 50". It updated its colon cancer guidelines in 2016 and its next review isn't expected until around 2021. "Therefore, what we've observed with the rising incidence is not simply a result of detection bias", Chang said.

Colorectal cancer, a malignancy that occurs in the colon or rectum, is a leading cause of cancer deaths. "I have to keep up with my health so I do everything that the doctors ask me to do", said Keith Chalmers of Wilkes-Barre.

If this new guideline is adopted, lives will be saved.

The organisation stated that the screening should begin at age 45, after a research recently conducted revealed that there was a 51 percent percent increase in colorectal cancer among people under 50 since 1994, and an accompanying rise in death rates.

She applauded the move toward earlier screening, saying it "will benefit the general public".

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