Colorectal Cancer Screening. Screening Algorithm.

[Go to Flexible Sigmoidoscopy / TCE algorithm box #15]

[Go to Flexible Sigmoidoscopy / TCE algorithm box #23]

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Source: Institute for Clinical Systems Improvement (ICSI). Colorectal cancer screening. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Jun. 50 p. Colorectal Cancer Screening Screening Algorithm A = Annotation Prescreening education and counseling. A Prevention opportunity. A Meets screening criteria? A Increased risk for development of colorectal cancer? A Increased risk surveillance. A Patient and provider choose screening test pathway. A FOBT annually Combination of 60 cm flexible sigmoidoscopy every 5 years and FOBT annually. A 60 cm flexible sigmoidoscopy every 5 years. A Total colon evaluation (TCE). A Patient submits 3 FOBT test slides. A Go to Flexible Sigmoidoscopy / TCE algorithm box #15 Any positive tests? Go to Flexible Sigmoidoscopy / TCE algorithm box #23. A Criteria for Routine Screening for Colorectal Cancer. The patient must meet all four of the following criteria: *50 to 80 years old, or if African American 45 to 80 years old. *No personal history of polyps and/or colorectal cancer. *No family history of colorectal cancer in: -One first order relative diagnosed before age 60 or -Two first order relatives diagnosed at any age. *No family history of adenomatous polyps in: -One first-order relative diagnosed before age 60. (A single first-order relative diagnosed with colorectal cancer after age 60 may put the patient at a slightly increased risk and may warrant starting colon cancer screening at age 40. A single first-order relative with an adenomatous polyp diagnosed after age 60 may put the patient at a slightly increased risk and may also warrant starting colon cancer screening at age 40) All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.