New colorectal cancer screening recommendations for African...( Bethesda MD March 21 2005 Physicia...),Health

Bethesda, MD, March 21, 2005 Physician experts from the American College of Gastroenterology have issued new recommendations to healthcare providers to begin colorectal cancer screening in African Americans at age 45 rather than 50 years. Colonoscopy is the preferred method of screening for colorectal cancer and data support the recommendation that African-Americans begin screening at a younger age because of the high incidence of colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancerous lesions in this population.

The recommendations are published in the March issue of the American Journal of Gastroenterology. Overall, colorectal cancer is the second leading cause of cancer deaths in the United States. African Americans are diagnosed with colorectal cancer at a younger age than whites, and African Americans with colorectal cancer have decreased survival compared with whites. The article reviews the evidence why African Americans should have their colons screened for cancer at age 45 instead of age 50, five years earlier than the current recommendations. The article was drafted by the American College of Gastroenterology's Committee on Minority Affairs and Cultural Diversity.

The Committee recommends colonoscopy as a "first line" screening procedure for colorectal cancer for African Americans rather than flexible sigmoidoscopy because of the high overall risk and as well as some evidence that African Americans have more right-sided cancers and polyps. The right side of the colon includes the cecum, ascending colon and proximal transverse colon and cannot be reached by flexible sigmoidoscopy.

Clinical gastroenterologists play an important role in promoting colorectal cancer awareness and the need for screening in African Americans. Evidence suggests African Americans are more responsive to screening recommendations from their personal physicians than from other sources. The College urges physicians to
'"/>

Contact: Anne-Louise Oliphant
aloliphant@acg.gi.org
301-263-9000
American College of Gastroenterology
21-Mar-2005

Page: 1 2 3
Related medicine news :

1. Studies examine coffee drinking and risk of liver and colorectal cancers
2. Colonoscopy still most effective colorectal cancer screening method
3. More than 41 million Americans need colorectal cancer screening
4. Virtual colonoscopy shows significant promise as colorectal cancer screening option
5. Obese women face higher risk of colorectal cancer
6. New study of African-American and Hispanic colorectal cancer patients
7. Model predicting colorectal cancer screening suggests higher mortality for virtual colonoscopy
8. Doctors can improve colorectal cancer screening rates
9. Direct mailing of blood test kits increases colorectal cancer screening
10. Different methods of adjuvant chemotherapy for colorectal cancer have similar outcomes
11. NCI grant supports Jefferson trial to study test for colorectal cancer recurrence