By vgreene, 20 December, 2019 1st line screens 4 Colonoscopy q10y Considerations Dx occurs w screening Reduced frequency Requires bowel prep sedation w risk of aspiration dehydration transportation 3 FIT or hs gFOBT q1y1 2 q2y per ACP3 Not suitable if pt can t f u q2y 3 Considerations
By vgreene, 20 December, 2019 Consider stopping screening or individualize whether to continue average risk1 5 pts based on previous screening hx results health status risk factors etc Never screened pts most likely to benefit 4
By vgreene, 20 December, 2019 Consider screening up to 85 yo if inadequate previous screening Factor health status e g healthy enough4 for colon CA tx pt preference etc per USPSTF 4
By vgreene, 20 December, 2019 CT colonography q5y, FIT-sDNA q3y, or flex sig q5-10y. If all of these are declined, then capsule colonoscopy q5y (3rd-tier)
By vgreene, 20 December, 2019 Choose screen type based on pt preference costs availability and frequency set frequency based on screen type 3 Empirical data aren t available to demonstrate greater net benefit of one screening strategy over another 4
By vgreene, 20 December, 2019 2nd line screens 4 Stool DNA mt sDNA q3y per ACG 1 ACS2 CT colonography q5y per ACG 1 ACS 2 USPSTF4 Colon capsule also 2nd tier per ACG 1 w q5y interval
By vgreene, 20 December, 2019 1st line screens 4 Colonoscopy q10y Considerations Dx occurs w screening Reduced frequency Requires bowel prep sedation w risk of aspiration dehydration transportation 3 FIT or hs gFOBT q1y1 2 q2y per ACP3 Not suitable if pt can t f u q2y 3 Considerations