Guidelines for colorectal cancer screening--a puzzle of tests and strategies.
Acta Clin Belg
; 65(6): 433-6, 2010.
Article
em En
| MEDLINE
| ID: mdl-21268961
ABSTRACT
Colorectal cancer (CRC) is a leading cause of cancer death around the World. An effective way to reduce colorectal cancer mortality is to screen for it and its precursor, the adenoma. In industrialized countries the mortality related to CRC is decreasing probably due to better screening programmes in average-risk individuals as well as changes in risk factors. Screening procedures are various including faecal screening tests--which primarily detect colon cancer--and structural tests (endoscopy--flexible sigmoidoscopy or colonoscopy--, Barium enema, Computed Tomography Colonography) that may detect not only cancer but also its precursors. Video-colon capsule is a new tool for exploring the colon but needs further studies before becoming a screening test. The choice of a screening test includes several factors as cost, invasiveness, acceptability, adherence to repeat testing and acceptance referral for colonoscopy for positive tests as well as local financial resources. Every screening programme has advantages and limitations. Enhancing use and quality of CRC screening programmes is mandatory.
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Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
/
Colon_e_reto
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Programas de Rastreamento
/
Detecção Precoce de Câncer
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Humans
Idioma:
En
Revista:
Acta Clin Belg
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Bélgica