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Allison JE et al. – Until recently, most clinical guidelines in the United States were in general agreement about the tests available for colorectal cancer screening, recommending fecal occult blood tests every year, flexible sigmoidoscopy every 5 years, both these tests together, double contrast barium enema every 5 years, or colonoscopy every 10 years. However, the release of two new sets of guidelines in 2008 has made it necessary for primary care physicians to update their knowledge of the recommended screening options. The most influential factor in determining whether a patient is screened is recommendation from a physician. The primary goal of this article is to review and critique the new guidelines for average–risk screening in adults older than 50 years. Armed with this information, primary care physicians will be better educated as to the importance of offering screening to their patients, as well as the strength and weaknesses of each recommended test.

Exclusive Author Commentary
James E. Allison, 07/30/09

I am very pleased to see our manuscript featured on MDLinx. Our goal was to help primary care physicians better understand the complex issues surrounding colorectal cancer screening guideline recommendations. We are hopeful that after reading our article PCPs will agree that no screening test is perfect but any is better than none and that the best screening test is the one that gets done.

   

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