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Colorectal Cancer Screening and Surveillance Colonoscopy in Older Adults

  • Jennifer K. Maratt
  • Audrey H. CalderwoodEmail author
Colon (JC Anderson, Section Editor)
  • 48 Downloads
Part of the following topical collections:
  1. Topical Collection on Colon

Abstract

Purpose of review

The purpose of this chapter is to highlight current recommendations regarding colorectal cancer (CRC) screening and post-polypectomy surveillance colonoscopy 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.

Keywords

Colon cancer Elderly Screening Surveillance 

Notes

Compliance with Ethical Standards

Conflict of Interest

Jennifer K. Maratt declares that she has no conflict of interest. Audrey H. Calderwood declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology and Hepatology, Department of Internal MedicineMichigan MedicineAnn ArborUSA
  2. 2.Veterans Affairs Ann Arbor Healthcare SystemAnn ArborUSA
  3. 3.Section of Gastroenterology, Department of MedicineDartmouth Geisel School of Medicine and the Dartmouth Institute for Health Policy and Clinical PracticeLebanonUSA

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