Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement

被引：1185

作者：

Calonge, Ned ^{[1
]}

Petitti, Diana B. ^{[2
]}

DeWitt, Thomas G. ^{[3
]}

Dietrich, Allen J. ^{[4
]}

Gregory, Kimberly D. ^{[5
]}

Harris, Russell ^{[6
]}

Isham, George ^{[7
]}

LeFevre, Michael L. ^{[8
]}

Leipzig, Roseanne M. ^{[9
]}

Loveland-Cherry, Carol ^{[10
]}

Marion, Lucy N. ^{[11
]}

Melnyk, Bernadette ^{[12
]}

Moyer, Virginia A. ^{[13
]}

Ockene, Judith K. ^{[14
]}

Sawaya, George F. ^{[15
]}

Yawn, Barbara P. ^{[16
]}

机构：

[1] Colorado Dept Publ Hlth & Environm, Denver, CO USA

[2] Univ So Calif, Keck Sch Med, Sierra Madre, CA USA

[3] Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA

[4] Dartmouth Med Sch, Hanover, NH USA

[5] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[6] Univ N Carolina, Sch Med, Chapel Hill, NC USA

[7] HealthPartners Inc, Minneapolis, MN USA

[8] Univ Missouri, Sch Med, Columbia, MO USA

[9] Mt Sinai Sch Med, New York, NY USA

[10] Univ Michigan, Sch Med, Ann Arbor, MI USA

[11] Med Coll Georgia, Sch Nursing, Augusta, GA 30912 USA

[12] Arizona State Univ, Coll Nursing & Healthcare Innovat, Phoenix, AZ USA

[13] Univ Texas Hlth Sci Ctr, Houston, TX USA

[14] Univ Massachusetts, Sch Med, Worcester, MA USA

[15] Univ Calif San Francisco, San Francisco, CA 94143 USA

[16] Olmsted Med Ctr, Rochester, MN USA

来源：

ANNALS OF INTERNAL MEDICINE | 2008年 / 149卷 / 09期

基金：

美国医疗保健研究与质量局;

关键词：

D O I：

10.7326/0003-4819-149-9-200811040-00243

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Description: Update of the 2002 U. S. Preventive Services Task Force (USPSTF) recommendation statement on screening for colorectal cancer. Methods: To update its recommendation, the USPSTF commissioned 2 studies: 1) a targeted systematic evidence review on 4 selected questions relating to test characteristics and benefits and harms of screening technologies, and 2) a decision analytic modeling analysis using population modeling techniques to compare the expected health outcomes and resource requirements of available screening modalities when used in a programmatic way over time. Recommendations: The USPSTF recommends screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary. (A recommendation) The USPSTF recommends against routine screening for colorectal cancer in adults 76 to 85 years of age. There may be considerations that support colorectal cancer screening in an individual patient. (C recommendation) The USPSTF recommends against screening for colorectal cancer in adults older than age 85 years. (D recommendation) The USPSTF concludes that the evidence is insufficient to assess the benefits and harms of computed tomographic colonography and fecal DNA testing as screening modalities for colorectal cancer. (I statement)

引用

页码：627 / +

页数：12

共 30 条

[1]

*AM CANC SOC, 2005, COL CANC FACTS FIG

[2]

American College of Obstetricians and Gynecologists, 2007, Obstet Gynecol, V110, P1199

[3]

[Anonymous], AHRQ PUBLICATION

[4]

[Anonymous], 2008, AHRQ PUBLICATION

[5]

[Anonymous], 2006, Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII, phase 2-Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation

[6] Screening for colorectal cancer: Recommendation and rationale [J].

Berg, AO ;

Allan, JD ;

Frame, PS ;

Homer, CJ ;

Johnson, MS ;

Klein, JD ;

Lieu, TA ;

Mulrow, CD ;

Orleans, CT ;

Peipert, JF ;

Pender, NJ ;

Siu, AL ;

Teutsch, SM ;

Westhoff, C ;

Woolf, SH .

ANNALS OF INTERNAL MEDICINE, 2002, 137 (02) :129-131

[7] Diagnostic accuracy of faecal occult blood tests used in screening for colorectal cancer: a systematic review [J].

Burch, J. A. ;

Soares-Weiser, K. ;

St John, D. J. B. ;

Duffy, S. ;

Smith, S. ;

Kleijnen, J. ;

Westwood, M. .

JOURNAL OF MEDICAL SCREENING, 2007, 14 (03) :132-137

[8]

Canadian Task Force on Preventive Health Care, 2001, CMAJ, V165, P206

[9]

*COL CANC STUD GRO, 2004, NEW ENGL J MED, V351, P2704

[10] Annual report to the Nation on the status of cancer, 1975-2002, featuring population-based trends in cancer treatment [J].

Edwards, BK ;

Brown, ML ;

Wingo, PA ;

Howe, HL ;

Ward, E ;

Ries, LAG ;

Schrag, D ;

Jamison, PM ;

Jemal, A ;

Wu, XC ;

Friedman, C ;

Harlan, L ;

Warren, J ;

Anderson, RN ;

Pickle, LW .

JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2005, 97 (19) :1407-1427

← 1 2 3 →