Journal of the American College of Surgeons
Volume 213, Issue 3 , Pages 352-361 , September 2011

Is It Time to Lower the Recommended Screening Age for Colorectal Cancer?

  • Donald M. Davis, MD

      Affiliations

    • Department of Surgery, University of South Florida College of Medicine, Tampa, FL
    • Corresponding Author InformationCorrespondence address: Donald M Davis, MD, 1 Tampa General Circle, H-012, Tampa, FL 33606
    • ,
  • Jorge E. Marcet, MD, FACS

      Affiliations

    • Department of Colon and Rectal Surgery, University of South Florida College of Medicine, Tampa, FL
    • ,
  • Jared C. Frattini, MD

      Affiliations

    • Department of Colon and Rectal Surgery, University of South Florida College of Medicine, Tampa, FL
    • ,
  • Andrew D. Prather, MD

      Affiliations

    • Department of Colon and Rectal Surgery, University of South Florida College of Medicine, Tampa, FL
    • ,
  • James J.L. Mateka

      Affiliations

    • Department of Colon and Rectal Surgery, University of South Florida College of Medicine, Tampa, FL
    • ,
  • Valentine N. Nfonsam, MD

      Affiliations

    • Department of Colon and Rectal Surgery, University of South Florida College of Medicine, Tampa, FL

Received 10 February 2011 ,Revised 29 March 2011 ,Accepted 19 April 2011.

References 

  1. Horner MJ, Ries LAG, Krapcho M, et al. SEER Cancer Statistics Review, 1975–2006, National Cancer Institute. Bethesda, MD, based on November 2008 SEER data submission, posted to the SEER Web site, 2009 http://seer.cancer.gov/csr/1975_2006/Accessed June 1, 2011
  2. Center MC, Jemal A, Ward E, et al. International trends in colorectal cancer incidence rates. Cancer Epidemiol Biomarkers Prev. 2009;18:1688–1694
  3. O'Connell JB, Maggard MA, Liu JH, et al. Rates of colon and rectal cancers are increasing in young adults. Am Surg. 2003;69:866–872
  4. Varma JR, Sample L. Colorectal cancer in patients aged less than 40 years. J Am Board Fam Pract. 1990;3:54–59
  5. O'Connel JB, Maggard MA, Livingston EH, et al. Colorectal cancer in the young. Am J Surg. 2004;187:343–348
  6. Lee PY, Fletcher WS, Sullivan ES, et al. Colorectal cancer in young patients: characteristics and outcomes. Am Surg. 1994;60:607–612
  7. O'Connell JB, Maggard MA, Liu JH, et al. Do young colon cancer patients have worse outcomes?. World J Surg. 2004;28:558–562
  8. O'Connell JB, Maggard MA, Liu JH, et al. Are survival rates different for young and older patients with rectal cancer?. Dis Colon Rectum. 2004;47:2064–2069
  9. Lieberman DA, Weiss DG, Bond JH, et al. Use of colonoscopy to screen asymptomatic adults for colorectal cancer (Veterans Affairs Cooperative Study Group 380). N Engl J Med. 2000;343:162–168
  10. Rex DK, Johnson DA, Anderson JC, et al. American College of Gastroenterology Guidelines for Colorectal Cancer Screening 2009. Am J Gastroenterol. 2009;104:739–750
  11. Mandel JS. Screening for colorectal cancer. Gastroenterol Clin North Am. 2008;37:97–115
  12. American Cancer Society. Cancer facts and figures 2009. Atlanta (GA): American Cancer Society; 2009;
  13. Volgelstein B, Fearon ER, Hamilton FR, et al. The adenoma to carcinoma sequence. Surg Gynecol Obstet. 1990;171:81
  14. Oster AG. Natural history of cervical intraepithelial neoplasia: a critical review. Int J Gynecol Pathol. 1993;12:186–192
  15. Zauber AG, Lansdorp-Vogelaar I, Knudsen AB, et al. Evaluating test strategies for colorectal cancer screening: a decision analysis for the U.S. Preventative Task Force. Ann Intern Med. 2008;149:659–669
  16. Theur CP, Wagner JL, Taylor TH, et al. Racial and ethnic colorectal cancer patterns affect the cost-effectiveness of colorectal cancer screening in the United States. Gastroenterology. 2001;120:848–856
  17. Agrawal S, Bhupinderjit A, Bhutani MS, et al. Colorectal cancer in African Americans. Am J Gastroenterol. 2005;100:515–523

 Disclosure Information: Nothing to disclose.

 Awarded third place in the 2010 Resident Paper Competition for the Commission on Cancer at the American College of Surgeons.

PII: S1072-7515(11)00380-2

doi: 10.1016/j.jamcollsurg.2011.04.033

Journal of the American College of Surgeons
Volume 213, Issue 3 , Pages 352-361 , September 2011

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