Practice Guidelines

Cancer Screening: ACS Releases Annual Summary of Recommendations

Am Fam Physician. 2019;99(11):719-722. 

In This Article

Colorectal Cancer

An estimated 140,250 persons will be diagnosed with colorectal cancer in 2018, with an associated 50,630 deaths. Despite this, the incidence and mortality rates have been decreasing in persons 50 years or older, based mainly on the use of screening for prevention and early identification. In 2018, the ACS updated its recommendations for screening in persons at average risk, with the most notable change being to start screening at 45 years of age; emphasizing screening in general via a variety of options, with appropriate guidance about their benefits and harms, rather than a preference for certain screening options; and describing follow-up protocols in patients with concerning results on stool testing. The guidance specific to persons at increased and high risk was last updated in 2001.