Early Detection of Colorectal Cancer

Publication Date: February 25, 2019

Last Updated: November 29, 2023

Treatment

Table 3. Screening: Asymptomatic, Average-Risk Population, High-Incidence Areas, Age 50 - 75

1.1 gFOBT

Basic
People should receive highly sensitive gFOBT every 1 (preferred) – 2 years if resources are available (based on resources and patient adherence).

Limited, Enhanced, Maximal
People should receive highly sensitive gFOBT annually. (, H , S )

614

1.2 FIT

Basic
People may receive FIT, if available, every 1 (preferred) – 2 years (based on resources and patient adherence).

Limited, Enhanced, Maximal
People may receive FIT annually. (, H , S )

614

1.3 Flexible Sigmoidoscopy

Basic
N/A

Limited, Enhanced, Maximal
People should receive Flexible Sigmoidoscopy every 5 years. (, H , S )

614

1.4 Flexible Sigmoidoscopy plus (FIT or FOBT)

Basic
N/A

Limited, Enhanced, Maximal
People may receive Flexible Sigmoidoscopy every 10 yrs plus FIT (or if FIT not available, then FOBT) every year. (, I , S )

614

1.5 Colonoscopy

Basic
N/A

Limited
N/A

Enhanced, Maximal
People may receive colonoscopy every 10 years. (, L , W )

614

1.6 CT colonography

Basic
N/A

Limited
N/A

Enhanced
N/A

Maximal
People may receive CT colonography. (, L , W )

614

1.7 FIT-DNA

Basic
N/A

Limited
N/A

Enhanced
N/A

Maximal
People may receive FIT-DNA. (, L , W )