Colorectal Cancer Screening and Surveillance in the Geriatric Population.

Q1 Medicine Current Gastroenterology Reports Pub Date : 2023-07-01 Epub Date: 2023-05-23 DOI:10.1007/s11894-023-00875-8
Janice Cheong, Adam Faye, Aasma Shaukat
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Abstract

Purpose of the review: Our national guidelines regarding screening and surveillance for colorectal cancer recommend individualized discussions with patients 75-85 years of age. This review explores the complex decision-making that surrounds these discussions.

Recent findings: Despite updated guidelines for colorectal cancer screening and surveillance, the guidance for patients 75 years of age or older remains unchanged. Studies exploring the risks to colonoscopy in this population, patient preferences, life expectancy calculators and additional studies in the subpopulation of inflammatory bowel disease patients provide points of consideration to aid in individualized discussions. The benefit-risk discussion for colorectal cancer screening in patients over 75 years old warrants further guidance to develop best practice. To craft more comprehensive recommendations, additional research with inclusion of such patients is needed.

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老年群体中的结直肠癌筛查和监测。
回顾的目的:我们国家的结直肠癌筛查和监测指南建议与 75-85 岁的患者进行个性化讨论。本综述探讨了围绕这些讨论的复杂决策:尽管更新了结直肠癌筛查和监测指南,但针对 75 岁或以上患者的指导仍未改变。探讨该人群结肠镜检查风险的研究、患者的偏好、预期寿命计算器以及对炎症性肠病患者亚群的额外研究提供了考虑要点,有助于进行个性化讨论。对 75 岁以上患者进行结直肠癌筛查的获益-风险讨论需要进一步指导,以制定最佳实践。为了制定更全面的建议,需要对这类患者进行更多的研究。
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来源期刊
Current Gastroenterology Reports
Current Gastroenterology Reports Medicine-Gastroenterology
CiteScore
7.80
自引率
0.00%
发文量
19
期刊介绍: As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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