Cancer screening in the United States, 2009: A review of current American Cancer Society guidelines and issues in cancer screening


  • Robert A. Smith PhD,

    Corresponding author
    1. Director of Cancer Screening, Cancer Control Science Department, American Cancer Society, Atlanta, GA
    • Cancer Control Science Department, American Cancer Society, 250 Williams Street, Atlanta, GA 30303
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  • Vilma Cokkinides PhD,

    1. Program Director for Risk Factor Surveillance, Department of Epidemiology and Research Surveillance, American Cancer Society, Atlanta, GA
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  • Otis W. Brawley MD

    1. Executive Vice President for Research and Medical Affairs, American Cancer Society, Atlanta, GA, and Editor-in-Chief of CA: A Cancer Journal for Clinicians
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  • DISCLOSURES: The authors report no conflicts of interest.


Each year, the American Cancer Society (ACS) publishes a report summarizing its recommendations for early cancer detection, data and trends in cancer screening rates, and select issues related to cancer screening. In 2008, the ACS, the American Gastroenterological Association, the American College of Gastroenterology, the Society for Gastrointestinal Endoscopy, and the American College of Radiology issued a joint update of guidelines for colorectal cancer screening in average-risk adults. In this issue, the current ACS guidelines and recent issues are summarized, updates of testing guidelines for early prostate cancer detection and colorectal cancer screening by the United States Preventive Services Task Force are discussed, and the most recent data from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System and the National Health Interview Survey pertaining to participation rates in cancer screening are described. CA Cancer J Clin 2009;59:27–41. © 2009 American Cancer Society.