![]() Studies of colorectal cancer screening effectiveness “have demonstrated failures at each step in the screening process, which are associated with increased mortality,” the study authors wrote. But many barriers keep people from being screened, including fear of the procedure itself or, in the case of colonoscopy, the preparation lack of access to care and absent or inadequate doctor–patient discussions about screening. Halm noted that colorectal cancer screening detects more cancers and prevents more cancer deaths than screening for either breast or cervical cancer. Preventive Services Task Force recommends screening for colorectal cancer for average-risk adults ages 50 to 75 with either colonoscopy once every 10 years or a FIT test every year.ĭr. For this test, it is recommended that people repeat the test once a year, and, if they have an abnormal test result (signs of blood in the stool), that they follow up with a colonoscopy to investigate the cause. Fecal occult blood testing has also been shown to reduce colorectal cancer deaths. This method can detect cancer early and find and remove precancerous growths, or polyps, reducing the risk of death from the disease.Īnother commonly used screening method is a fecal immunochemical test (FIT), which checks for hidden (occult) blood in patient-collected stool samples. The most commonly used colorectal cancer screening approach in the United States is colonoscopy. The trial was funded in part by NCI’s PROSPR program, which aims to better understand how to improve the screening process for breast, colorectal, and cervical cancer. Creative approaches are necessary to improve them.” “Screening rates for in the United States are inadequate. “This trial yields several important lessons in a real-world context,” wrote Michael Pignone, M.D., of the University of Texas at Austin, and David Miller, M.D., of Wake Forest School of Medicine, in an editorial accompanying the new study. ![]() The trial included a large number of minority and low-income patients, who have among the lowest rates of colorectal cancer screening in the United States. adults are not up to date with colorectal cancer screening or do not follow up when their test results warrant follow-up. Screening for colorectal cancer, the second leading cause of cancer-related death in the United States, has been shown to reduce deaths from this disease. ![]() “Our best efforts tripled screening process completion rates, but we have much more room to improve,” said senior study author Ethan Halm, M.D., of the University of Texas Southwestern (UTSW) Medical Center. Researchers reported the findings September 5 in JAMA. Low-tech outreach approaches, such as mailed invitation letters and free testing kits, can help increase the number of people who get screened for colorectal cancer with either a colonoscopy or home stool test and complete the appropriate follow-up, results from a new clinical trial show.
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