New guidelines recommend colon cancer screenings earlier
02 June, 2018, 03:27 | Author: Lillian Steele
Analyst Brian Weinstein, with the William Blair investment firm, praised the American Cancer Society for its "forward thinking", but cautioned that the updated guideline may not be a big boost for Cologuard right away. That produced a result that showed the lifesaving potential of earlier screening, the group said. Vital signs: colorectal cancer tests saves lives.
While few trials have looked at screening 45-year-olds, new statistical models reviewed by the cancer society showed that the younger group should benefit almost as much as slightly older adults do, Wolf said.
Outside of the cost and the frequency in which a test is recommended to be done, "all these tests are approximately equal in their value and can be offered", Wender said.
The ACS commissioned a new modeling study that incorporated more recent studies of colorectal cancer screening.
The study then compared screening strategies starting at ages 40, 45 and 50 and stopping at ages 75, 80 and 85.
"I think it's great that they are finally recognizing that colorectal cancer is being seen at younger ages and it's not any longer just being considered as the older man's disease", Georges said. In fact, the risk of developing colon cancer is twice as high as it was years ago and the risk of developing rectal cancer is four times higher. The recommendation for regular screening in adults aged 50 years and older is designated as a 'strong recommendation, ' on the basis of the greater strength of the evidence, as well as the overall benefit.
According to Elena Ivanina, a gastroenterologist at Lenox Hill Hospital in NY, the 51 percent increase in colorectal cancer among those under age 50 since 1994 is an "alarming" trend. Colon cancer, combined with rectal cancer, is the second leading cause of cancer death in the U.S.
When the group first was asked to review the screenings, Wolf said, they expected to lower the age only for specific groups. Tests showed Fiske had colorectal cancer that had spread to his liver.
People with a family history of colorectal cancer are already advised to start getting screening tests before age 50.
After declining overall from 1970 to 2004, colon and rectal cancer mortality rates among 20- to 54-year-olds in the United States increased by 1% annually from 2004 to 2014, according to a study published last year in the medical journal JAMA. However, new data showing rising colorectal cancer incidence in people younger than 50 - and in some cases much younger than 50 - may argue for an earlier start to screening.
She applauded the move toward earlier screening, saying it "will benefit the general public".
"The revision to the American Cancer Society guideline for the average risk population from 50 to 45 is a critical step to impact the increasing rate of colorectal cancer in the young (under age 50)". With that, we've noted that the incidence is going up in younger people, even younger than 45.
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