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Colorectal Cancer Screening and Surveillance Colonoscopy in Older Adults

Colorectal Cancer Screening and Surveillance Colonoscopy in Older Adults Purpose of review The purpose of this chapter is to highlight current recommendations regarding colorectal cancer (CRC) screening and post-polypectomy surveillance colonos- copy in older adults and to review the available literature in order to help inform decision- making in this age group. Recent findings Age is a risk factor for CRC; however, older adults with a history of prior screening are at lower risk for CRC compared to those who have never been screened. Decision-making for CRC screening and post-polypectomy surveillance colonoscopy in older adults is complex and several factors including age, screening history, comorbidities, functional status, bowel preparation, prior experiences, preferences, and barriers need to be considered when weighing risks and benefits. Recent guidelines have started to incorporate life expectancy and prior screening history into their recommendations; however, how to incorporate these factors into actual clinical practice is less clear. Summary There are limited data on the relative benefits of screening and surveillance in older adults and therefore, at this time, decision-making should be individualized and incorporate patient preferences in addition to medical factors. Introduction Colorectal cancer (CRC) is the third leading cause of death for men and women in the USA [1]. The primary cancer and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Treatment Options in Gastroenterology Springer Journals

Colorectal Cancer Screening and Surveillance Colonoscopy in Older Adults

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References (44)

Publisher
Springer Journals
Copyright
Copyright © 2019 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Gastroenterology
ISSN
1092-8472
eISSN
1534-309X
DOI
10.1007/s11938-019-00230-9
Publisher site
See Article on Publisher Site

Abstract

Purpose of review The purpose of this chapter is to highlight current recommendations regarding colorectal cancer (CRC) screening and post-polypectomy surveillance colonos- copy in older adults and to review the available literature in order to help inform decision- making in this age group. Recent findings Age is a risk factor for CRC; however, older adults with a history of prior screening are at lower risk for CRC compared to those who have never been screened. Decision-making for CRC screening and post-polypectomy surveillance colonoscopy in older adults is complex and several factors including age, screening history, comorbidities, functional status, bowel preparation, prior experiences, preferences, and barriers need to be considered when weighing risks and benefits. Recent guidelines have started to incorporate life expectancy and prior screening history into their recommendations; however, how to incorporate these factors into actual clinical practice is less clear. Summary There are limited data on the relative benefits of screening and surveillance in older adults and therefore, at this time, decision-making should be individualized and incorporate patient preferences in addition to medical factors. Introduction Colorectal cancer (CRC) is the third leading cause of death for men and women in the USA [1]. The primary cancer and

Journal

Current Treatment Options in GastroenterologySpringer Journals

Published: Apr 9, 2019

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