Which organizations have issue guidelines on colorectal cancer screening?

Updated: Apr 10, 2020
  • Author: Elwyn C Cabebe, MD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Guidelines on colorectal screening have been issued by the following organizations:

  • American Cancer Society (ACS), US Multi-Society Task Force on Colorectal Cancer, and American College of Radiology
  • U.S. Preventive Services Task Force (USPSTF)
  • American College of Physicians (ACP)
  • American College of Gastroenterology (ACG)
  • National Comprehensive Cancer Network (NCCN)

While all the guidelines recommend routine screening for colorectal cancer and adenomatous polyps in asymptomatic adults starting at age 50, they differ with regard to frequency of screening and age at which to discontinue screening, as well as the preferred screening method. For high-risk patients, the recommendations differ regarding the age at which to begin screening, as well as the frequency and method of screening.

In contrast, a 2019 guideline on colorectal cancer screening from an international panel of experts recommends using risk calculations to guide screening, with screening limited to patients with an elevated level of risk.

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