Reconciling Disparate Guidelines: The American College of Physicians Colorectal Cancer Screening Guidance Statement
Authors: Michael Pignone
Journal: Annals of Internal Medicine (2019)

Editorials5 November 2019Reconciling Disparate Guidelines: The American College of Physicians Colorectal Cancer Screening Guidance StatementMichael Pignone, MD, MPHMichael Pignone, MD, MPHDell Medical School, University of Texas, Austin, Texas (M.P.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-2892 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Colorectal cancer (CRC) mortality has been decreasing, in large part because of improved screening (1). Several organizations offer evidence-based guidelines for CRC screening, but recommendations sometimes differ (2–4). In their article, Qaseem and colleagues (5) present an evaluation of recent guidelines for the American College of Physicians (ACP), focusing on those from the U.S. Preventive Services Task Force (USPSTF) and the Canadian Task Force on Preventive Health Care, but also considering those from the American Cancer Society (ACS) and other organizations (5). Qaseem and colleagues used state-of-the-art methods for evaluating guidelines, including engagement of patient representatives, but they did not ...References1. American Cancer Society. Cancer Facts & Figure 2019. Atlanta: American Cancer Society; 2019. Google Scholar2. Canadian Task Force on Preventive Health Care. Recommendations on screening for colorectal cancer in primary care. CMAJ. 2016;188:340-8. [PMID: 26903355] doi:10.1503/cmaj.151125 CrossrefMedlineGoogle Scholar3. Bibbins-Domingo K, Grossman DC, Curry SJ, et al; US Preventive Services Task Force. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA. 2016;315:2564-75. [PMID: 27304597] doi:10.1001/jama.2016.5989 CrossrefMedlineGoogle Scholar4. Wolf AMD, Fontham ETH, Church TR, et al. Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society. CA Cancer J Clin. 2018;68:250-81. [PMID: 29846947] doi:10.3322/caac.21457 CrossrefMedlineGoogle Scholar5. Qaseem A, Crandall CJ, Mustafa RA, et al. Screening for colorectal cancer in asymptomatic average-risk adults: a guidance statement from the American College of Physicians. Ann Intern Med. 2019;171:643-54. doi:10.7326/M19-0642 LinkGoogle Scholar6. Lin JS, Piper MA, Perdue LA, et al. Screening for colorectal cancer: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2016;315:2576-94. [PMID: 27305422] doi:10.1001/jama.2016.3332 CrossrefMedlineGoogle Scholar7. Ladabaum U, Mannalithara A. Comparative effectiveness and cost effectiveness of a multitarget stool DNA test to screen for colorectal neoplasia. Gastroenterology. 2016;151:427-39. [PMID: 27311556] doi:10.1053/j.gastro.2016.06.003 CrossrefMedlineGoogle Scholar8. Ladabaum U, Mannalithara A, Meester RGS, et al. Cost-effectiveness and national effects of initiating colorectal cancer screening for average-risk persons at age 45 years instead of 50 years. Gastroenterology. 2019;157:137-48. [PMID: 30930021] doi:10.1053/j.gastro.2019.03.023 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Dell Medical School, University of Texas, Austin, Texas (M.P.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2892.Corresponding Author: Michael Pignone, MD, MPH, Department of Internal Medicine, Dell Medical School, DMS Health Discovery Building, Room 7.70, 1701 Trinity Street, Stop Z0900, Austin, TX 78712; e-mail, [email protected]utexas.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians Amir Qaseem , Carolyn J. Crandall , Reem A. Mustafa , Lauri A. Hicks , Timothy J. Wilt , and Metrics Cited byHow Would You Screen This Patient for Colorectal Cancer? Grand Rounds Discussion From Beth Israel Deaconess Medical CenterRisa B. Burns, MD, MPH, Carol M. Mangione, MD, MSPH, David S. Weinberg, MD, MSc, and Zahir Kanjee, MD, MPHEfficacy and tolerability of a low-residue diet for bowel preparation: systematic review and meta-analysisA practical approach to selecting a colorectal cancer screening testHealthcare Provider Perspectives on Lowering Colorectal Cancer Screening Initiation Age to 45 Years: Results From a Survey of Clinicians in the U.S. 5 November 2019Volume 171, Issue 9Page: 671-672KeywordsAcute coronary syndromeColonoscopyDisclosureEpidemiologyFlexible sigmoidoscopyHealth careMortalityQuality adjusted life yearsRandomized trialsScreening guidelines ePublished: 5 November 2019 Issue Published: 5 November 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...