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The American College of Physicians (ACP) has issued a guidance statement for clinicians with regard to colorectal cancer (CRC) screening that is based on a review of several current guidelines.
The recommendations are as follows:
Clinicians should perform individualized assessment of risk for CRC in all adults.
Average-risk individuals should begin screening at age 50, and high-risk adults should begin at age 40 or 10 years younger than the age at which their youngest affected relative received a diagnosis of CRC.
The screening test should be an annual stool-based test, flexible sigmoidoscopy every 5 years, or optical colonoscopy every 10 years in average-risk screening patients and optical colonoscopy every 5 years in high-risk patients.
Clinic…