Health
According to US health experts, colon cancer testing should start at 45 instead of 50.
Overall, the incidence of colon cancer is declining, Draft Guidelines issued by the US Preventive Medicine Commission on Tuesday It reflects growing concern about the rate of increase for people under the age of 50.
“There is increasing data showing that a higher proportion of young people have colorectal cancer,” said Dr. Alex Krist, a family doctor at Virginia Commonwealth University and a member of the Task Force. “Basically, people aged 45 today are at the same risk of developing colon cancer as people aged 50 in the past.”
The Task Force is a volunteer panel of physicians who regularly review evidence and issue medical testing and treatment advice.
This group proposes to screen adults aged 45 to 75 years at average risk of colon cancer. The frequency of testing depends on the type of screening. Colonoscopy is usually done every 5 to 10 years, but stool-based tests are done annually. .. After the age of 75, the Task Force states that screening decisions must be made individually.
“Most people with colon cancer have no signs, symptoms, or risk, so we recommend that everyone be screened,” says Christ.
Task Force advice on screening does not apply to people with colon cancer, polyps, or hereditary disorders that increase the family history or risk of colon cancer. Tuesday’s proposal also emphasizes that the disease occurs more frequently, screening is less common, and the number of deaths in black adults increases.
Colon cancer, along with rectal cancer, is the third leading cause of cancer death in the United States and is presumed to be 148,000 new cases this year.
The task force proposal is American Cancer Society, Reduced the screening age from 50 to 45 in 2018. With this change, doctors should be reassured that they recommend screening for colon cancer in younger patients, says cancer group Robert Smith.
“We had expected this for a while,” Smith said.
Dr. Nancy Yu of the MD Anderson Cancer Center in Houston said early testing can detect precancerous polyps or early cancers in young patients before the disease requires more aggressive treatment. Said it would be useful.
“There are many treatment options that are less invasive and give better results when treating cancer in the early stages,” she said. “It makes a big difference to our patients.”
Experts expect that screening people remains a challenge. Currently, one in four people between the ages of 50 and 75 has never been screened for the disease, and only about 60% of adults in the United States have the latest information on colon cancer screening. Christ said.
Once the recommendations are finalized, youth screening is covered by most private insurance plans and is not out-of-pocket. The Affordable Care Act requires insurers to cover the services recommended by the Task Force.
This proposal is open for public comment until November 23rd.
Copyright © 2020 AP communication. all rights reserved.
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