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Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology†‡§

  1. Dr. Bernard Levin MD1,
  2. Dr. David A. Lieberman MD2,
  3. Dr. Beth McFarland MD3,
  4. Dr. Robert A. Smith PhD4,
  5. Dr. Durado Brooks MD, MPH5,
  6. Ms. Kimberly S. Andrews6,
  7. Dr. Chiranjeev Dash MD, MPH7,
  8. Dr. Francis M. Giardiello MD8,
  9. Dr. Seth Glick MD9,
  10. Dr. Theodore R. Levin MD10,
  11. Dr. Perry Pickhardt MD11,
  12. Dr. Douglas K. Rex MD12,
  13. Dr. Alan Thorson MD13,
  14. Dr. Sidney J. Winawer MD14

Article first published online: 31 DEC 2008

DOI: 10.3322/CA.2007.0018

Issue

CA: A Cancer Journal for Clinicians

CA: A Cancer Journal for Clinicians

Volume 58, Issue 3, pages 130–160, May/June 2008

Additional Information

How to Cite

Levin, B., Lieberman, D. A., McFarland, B., Smith, R. A., Brooks, D., Andrews, K. S., Dash, C., Giardiello, F. M., Glick, S., Levin, T. R., Pickhardt, P., Rex, D. K., Thorson, A. and Winawer, S. J. (2008), Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA: A Cancer Journal for Clinicians, 58: 130–160. doi: 10.3322/CA.2007.0018

Author Information

  1. 1

    B. Levin is Professor Emeritus, The University of Texas MD Anderson Cancer Center, Houston, TX

  2. 2

    Lieberman is Chief, Division of Gastroenterology, Oregon Health and Science University, Portland Veterans Medical Center, Portland, OR

  3. 3

    McFarland is Adjunct Professor of Radiology, Washington University; St. Luke's Hospital and Center for Diagnostic Imaging, Chesterfield, MO

  4. 4

    Smith is Director, Cancer Screening, Cancer Control Science Department, American Cancer Society, Atlanta, GA

  5. 5

    Brooks is Director, Prostate and Colorectal Cancer, Cancer Control Science Department, American Cancer Society, Atlanta, GA

  6. 6

    Andrews is Research Associate, Cancer Control Science Department, American Cancer Society, Atlanta, GA

  7. 7

    Dash is Doctoral Candidate, Department of Epidemiology, Emory University, Rollins School of Public Health, Atlanta, GA

  8. 8

    Giardiello is John G. Rangos Sr. Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD

  9. 9

    Glick is Clinical Professor of Radiology, University of Pennsylvania Health System, Philadelphia, PA

  10. 10

    T. Levin is Staff Physician, Gastroenterology Department, Kaiser Permanente Walnut Creek Medical Center, Walnut Creek, CA

  11. 11

    Pickhardt is Associate Professor, Radiology Department, University of Wisconsin Hospital and Clinics, Madison, WI

  12. 12

    Rex is Professor of Medicine, Indiana University, Indianapolis, IN

  13. 13

    Thorson is Associate Professor of Surgery; and Program Director, Section of Colon and Rectal Surgery, Creighton University School of Medicine; and Clinical Associate Professor of Surgery, University of Nebraska College of Medicine, Omaha, NE

  14. 14

    Winawer is Attending Physician, Memorial Sloan-Kettering Cancer Center, New York, NY

  • †

    * This article is being published jointly in 2008 in CA: A Cancer Journal for Clinicians (online: March 5, 2008; print: May/June 2008), Gastroenterology (online: March 2008; print: May 2008), and Radiology (print: June 2008) by the American Cancer Society, the American Gastroenterology Association, and the Radiological Society of North America.

  • ‡

    † © 2008 American Cancer Society, Inc., and American Gastroenterology Association, Inc. Copying with attribution allowed for any noncommercial use of the work.

  • §

    Published online through CA First Look at http://CAonline.AmCancer.Soc.org.

Publication History

  1. Issue published online: 31 DEC 2008
  2. Article first published online: 31 DEC 2008

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Abstract

In the United States, colorectal cancer (CRC) is the third most common cancer diagnosed among men and women and the second leading cause of death from cancer. CRC largely can be prevented by the detection and removal of adenomatous polyps, and survival is significantly better when CRC is diagnosed while still localized. In 2006 to 2007, the American Cancer Society, the US Multi Society Task Force on Colorectal Cancer, and the American College of Radiology came together to develop consensus guidelines for the detection of adenomatous polyps and CRC in asymptomatic average-risk adults. In this update of each organization's guidelines, screening tests are grouped into those that primarily detect cancer early and those that can detect cancer early and also can detect adenomatous polyps, thus providing a greater potential for prevention through polypectomy. When possible, clinicians should make patients aware of the full range of screening options, but at a minimum they should be prepared to offer patients a choice between a screening test that is effective at both early cancer detection and cancer prevention through the detection and removal of polyps and a screening test that primarily is effective at early cancer detection. It is the strong opinion of these 3 organizations that colon cancer prevention should be the primary goal of screening.†‡

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