What are the ACP colorectal screening guidelines?

Updated: Mar 18, 2021
  • Author: Elwyn C Cabebe, MD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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In 2015, the American College of Physicians recommended that average-risk adults aged 50 to 75 years should be screened for colorectal cancer by one of the following strategies [6] :

  • Annual high-sensitivity FOBT or FIT
  • Flexible sigmoidoscopy every 5 years
  • High-sensitivity FOBT or FIT every 3 years plus flexible sigmoidoscopy every 5 years
  • Colonoscopy every 10 years

Interval screening with fecal testing or flexible sigmoidoscopy in adults having 10-year screening colonoscopy is not recommended. Average-risk adults younger than 50 years, older than 75 years, or with an estimated life expectancy of less than 10 years should not be screened.

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