Colorectal Cancer Screening Decisions in the Opportunistic Setting

Gastrointest Endosc Clin N Am. 2020 Jul;30(3):413-422. doi: 10.1016/j.giec.2020.02.012. Epub 2020 Apr 16.

Abstract

Colorectal cancer incidence and mortality have decreased in the United States in recent decades, largely through opportunistic screening. Although certain organizations have improved internal screening rates by implementing programmatic screening, most of the United States undergoes opportunistic screening. Much effort and resources have been expended comparing screening tests to determine the most effective; however, deeper analysis of the US population has revealed subsets of ethnicities may be grossly underscreened. The most effective screening test remains the test that is completed and adhered to, and a better question may concern the best method of discussing screening.

Keywords: Cancer; Colorectal; Opportunistic; Screening.

Publication types

  • Review

MeSH terms

  • Clinical Decision-Making
  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / epidemiology
  • Early Detection of Cancer / methods*
  • Humans
  • Mass Screening / methods
  • Office Visits
  • Risk Assessment
  • United States / epidemiology