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Asia Pacific consensus recommendations for colorectal cancer screening.

Abstract

Colorectal cancer (CRC) is rapidly increasing in Asia, but screening guidelines are lacking. Through reviewing the literature and regional data, and using the modified Delphi process, the Asia Pacific Working Group on Colorectal Cancer and international experts launch consensus recommendations aiming to improve the awareness of healthcare providers of the changing epidemiology and screening tests available. The incidence, anatomical distribution and mortality of CRC among Asian populations are not different compared with Western countries. There is a trend of proximal migration of colonic polyps. Flat or depressed lesions are not uncommon. Screening for CRC should be started at the age of 50 years. Male gender, smoking, obesity and family history are risk factors for colorectal neoplasia. Faecal occult blood test (FOBT, guaiac-based and immunochemical tests), flexible sigmoidoscopy and colonoscopy are recommended for CRC screening. Double-contrast barium enema and CT colonography are not preferred. In resource-limited countries, FOBT is the first choice for CRC screening. Polyps 5-9 mm in diameter should be removed endoscopically and, following a negative colonoscopy, a repeat examination should be performed in 10 years. Screening for CRC should be a national health priority in most Asian countries. Studies on barriers to CRC screening, education for the public and engagement of primary care physicians should be undertaken. There is no consensus on whether nurses should be trained to perform endoscopic procedures for screening of colorectal neoplasia.

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  • Authors+Show Affiliations

    ,

    The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong. joesung@cuhk.edu.hk

    , , , , , , , , , , , , , , , , , , ,

    Source

    Gut 57:8 2008 Aug pg 1166-76

    MeSH

    Asia
    Asian Continental Ancestry Group
    Colonoscopy
    Colorectal Neoplasms
    Evidence-Based Medicine
    Female
    Humans
    Incidence
    Intestinal Polyps
    Male
    Mass Screening
    Middle Aged
    Occult Blood
    Sigmoidoscopy

    Pub Type(s)

    Consensus Development Conference
    Journal Article

    Language

    eng

    PubMed ID

    18628378

    Citation

    Sung, J J Y., et al. "Asia Pacific Consensus Recommendations for Colorectal Cancer Screening." Gut, vol. 57, no. 8, 2008, pp. 1166-76.
    Sung JJ, Lau JY, Young GP, et al. Asia Pacific consensus recommendations for colorectal cancer screening. Gut. 2008;57(8):1166-76.
    Sung, J. J., Lau, J. Y., Young, G. P., Sano, Y., Chiu, H. M., Byeon, J. S., ... Chan, F. K. (2008). Asia Pacific consensus recommendations for colorectal cancer screening. Gut, 57(8), pp. 1166-76. doi:10.1136/gut.2007.146316.
    Sung JJ, et al. Asia Pacific Consensus Recommendations for Colorectal Cancer Screening. Gut. 2008;57(8):1166-76. PubMed PMID: 18628378.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Asia Pacific consensus recommendations for colorectal cancer screening. AU - Sung,J J Y, AU - Lau,J Y W, AU - Young,G P, AU - Sano,Y, AU - Chiu,H M, AU - Byeon,J S, AU - Yeoh,K G, AU - Goh,K L, AU - Sollano,J, AU - Rerknimitr,R, AU - Matsuda,T, AU - Wu,K C, AU - Ng,S, AU - Leung,S Y, AU - Makharia,G, AU - Chong,V H, AU - Ho,K Y, AU - Brooks,D, AU - Lieberman,D A, AU - Chan,F K L, AU - ,, PY - 2008/7/17/pubmed PY - 2008/8/9/medline PY - 2008/7/17/entrez SP - 1166 EP - 76 JF - Gut JO - Gut VL - 57 IS - 8 N2 - Colorectal cancer (CRC) is rapidly increasing in Asia, but screening guidelines are lacking. Through reviewing the literature and regional data, and using the modified Delphi process, the Asia Pacific Working Group on Colorectal Cancer and international experts launch consensus recommendations aiming to improve the awareness of healthcare providers of the changing epidemiology and screening tests available. The incidence, anatomical distribution and mortality of CRC among Asian populations are not different compared with Western countries. There is a trend of proximal migration of colonic polyps. Flat or depressed lesions are not uncommon. Screening for CRC should be started at the age of 50 years. Male gender, smoking, obesity and family history are risk factors for colorectal neoplasia. Faecal occult blood test (FOBT, guaiac-based and immunochemical tests), flexible sigmoidoscopy and colonoscopy are recommended for CRC screening. Double-contrast barium enema and CT colonography are not preferred. In resource-limited countries, FOBT is the first choice for CRC screening. Polyps 5-9 mm in diameter should be removed endoscopically and, following a negative colonoscopy, a repeat examination should be performed in 10 years. Screening for CRC should be a national health priority in most Asian countries. Studies on barriers to CRC screening, education for the public and engagement of primary care physicians should be undertaken. There is no consensus on whether nurses should be trained to perform endoscopic procedures for screening of colorectal neoplasia. SN - 1468-3288 UR - https://www.unboundmedicine.com/medline/citation/18628378/Asia_Pacific_consensus_recommendations_for_colorectal_cancer_screening_ L2 - http://gut.bmj.com/cgi/pmidlookup?view=long&pmid=18628378 DB - PRIME DP - Unbound Medicine ER -