Gastrointestinal Endoscopy ( IF 7.7 ) Pub Date : 2021-11-15 , DOI: 10.1016/j.gie.2021.06.012 Swati G Patel 1 , Folasade P May 2 , Joseph C Anderson 3 , Carol A Burke 4 , Jason A Dominitz 5 , Seth A Gross 6 , Brian C Jacobson 7 , Aasma Shaukat 8 , Douglas J Robertson 9
This document is a focused update to the 2017 colorectal cancer (CRC) screening recommendations from the U.S. Multi-Society Task Force on Colorectal Cancer, which represents the American College of Gastroenterology, the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy. This update is restricted to addressing the age to start and stop CRC screening in average-risk individuals and the recommended screening modalities. Although there is no literature demonstrating that CRC screening in individuals under age 50 improves health outcomes such as CRC incidence or CRC-related mortality, sufficient data support the U.S. Multi-Society Task Force to suggest average-risk CRC screening begin at age 45. This recommendation is based on the increasing disease burden among individuals under age 50, emerging data that the prevalence of advanced colorectal neoplasia in individuals ages 45 to 49 approaches rates in individuals 50 to 59, and modeling studies that demonstrate the benefits of screening outweigh the potential harms and costs. For individuals ages 76 to 85, the decision to start or continue screening should be individualized and based on prior screening history, life expectancy, CRC risk, and personal preference. Screening is not recommended after age 85.
中文翻译:
开始和停止结直肠癌筛查年龄的更新:美国结直肠癌多社会工作组的建议
本文件是美国结直肠癌多社会工作组(代表美国胃肠病学会、美国胃肠病学协会和美国胃肠内窥镜学会)2017 年结直肠癌 (CRC) 筛查建议的重点更新。本次更新仅限于解决一般风险个体开始和停止 CRC 筛查的年龄以及推荐的筛查方式。尽管没有文献证明 50 岁以下个体的 CRC 筛查可以改善健康结果,例如 CRC 发病率或 CRC 相关死亡率,但有足够的数据支持美国多社会工作组建议平均风险 CRC 筛查从 45 岁开始。该建议的依据是 50 岁以下人群的疾病负担日益增加、45 至 49 岁人群中晚期结直肠肿瘤患病率接近 50 至 59 岁人群中晚期结直肠肿瘤患病率的新数据,以及证明筛查益处大于潜在危害的模型研究和成本。对于 76 岁至 85 岁的个人,开始或继续筛查的决定应因人而异,并基于既往筛查史、预期寿命、CRC 风险和个人偏好。85 岁以后不建议进行筛查。