Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence.

@article{Winawer2003ColorectalCS,
  title={Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence.},
  author={Sidney J. Winawer and Robert H. Fletcher and Douglas K. Rex and John H. Bond and Randall W. Burt and Joseph T. Jr. Ferrucci and Theodore G Ganiats and Theodore R. Levin and Steven H. Woolf and David A. Johnson and Lynne M Kirk and Scott Litin and Clifford L. Simmang},
  journal={Gastroenterology},
  year={2003},
  volume={124 2},
  pages={
          544-60
        }
}
We have updated guidelines for screening for colorectal cancer. The original guidelines were prepared by a panel convened by the U.S. Agency for Health Care Policy and Research and published in 1997 under the sponsorship of a consortium of gastroenterology societies. Since then, much has changed, both in the research rature and in the clinical context. The present report summarizes new developments in this field and suggests how they should change practice. As with the previous version, these… 

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References

SHOWING 1-10 OF 106 REFERENCES
Colorectal cancer screening: clinical guidelines and rationale.
TLDR
This guideline report presents the panel’s recommendations with respect to screening and surveillance in people at average risk for CRC and those at increased risk because of a family history of CRC or genetic syndromes or a personal history of adenomatous polyps, inflammatory bowel disease, or curative-intent resection of CRC.
Cost-effectiveness of colonoscopy in screening for colorectal cancer.
TLDR
Researchers compared the costeffectiveness of the three modalities used in primary screening for colorectal cancer: fecal occult blood testing, flexible sigmoidoscopy, and colonoscopy.
Choice of fecal occult blood tests for colorectal cancer screening: recommendations based on performance characteristics in population studies
TLDR
There is now strong evidence that screening for colorectal cancer with fecal occult blood tests (FOBTs) is effective in reducing the incidence and mortality of this disease and there is no extensively studied FOBT that fulfills the needs for all target populations worldwide.
Endoscopic colorectal cancer screening: a cost-saving analysis.
TLDR
It may well be that the induced savings by endoscopic colorectal cancer screening completely compensate for the costs, given the present, limited knowledge of the disease process of coloreCTal cancer, test characteristics, and costs.
Surveillance Issues in Inflammatory Bowel Disease: Ulcerative Colitis
TLDR
An overview of the criteria for evaluating screening and surveillance programs and applies the criteria to the available evidence to determine the effectiveness of the surveillance of patients with ulcerative colitis is provided.
Screening for colorectal cancer with fecal occult blood testing and sigmoidoscopy.
TLDR
The screening of average-risk individuals (aged 50 and older) for colorectal cancer through use of the fecal occult blood test in conjunction with sigmoidoscopy can increase the likelihood of early detection of this disease.
The effect of fecal occult-blood screening on the incidence of colorectal cancer.
TLDR
The use of either annual or biennial fecal occult-blood testing significantly reduces the incidence of colorectal cancer.
Cost-effectiveness of screening for colorectal cancer in the general population.
TLDR
Screening for CRC, even in the setting of imperfect compliance, significantly reduces CRC mortality at costs comparable to other cancer screening procedures, however, compliance rates significantly affect the incremental CE ratios.
...
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