TAILIEUCHUNG - American College of Gastroenterology Guidelines for Colorectal Cancer Screening 2008

This assessment of the respiratory health effects associated with passive smoking has been prepared by the Human Health Assessment Group, Office of Health and Environmental Assessment, Office of Research and Development, which is responsible for the report's scientific accuracy and conclusions. The assessment was prepared at the request of the Indoor Air Division, Office of Atmospheric and Indoor Air Programs, Office of Air and Radiation, which defined the assessment's scope and provided funding. The report has been developed under the authority of Title IV of Superfund (The Radon Gas and Indoor Air Quality Research Act of 1986) to provide information and guidance on the potential. | nature publishing group ACG PRACTICE GUIDELINES 1 American College of Gastroenterology Guidelines for Colorectal Cancer Screening 2008 Douglas K. Rex MI I AMD1 David A. Johnson Ml I ACC I Jo seph C. Anders on Ml 1 Phillip S. Schoenfeld MD MSEd MSc Epi FACG1 c aeal A. Bueke Ml FACD1 and John M. Inadomí MDp FACG 1 This document is the first update of the American College of Gastroenterology ACG colorectal cancer CRC screening recommendations since 2000. The CRC screening tests are now grouped into cancer prevention tests and cancer detection tests. Colonoscopy every 10 years beginning at age 50 remains the preferred CRC screening strategy. It is recognized that colonoscopy is not available in every clinical setting because of economic limitations. It is also realized that not all eligible persons are willing to undergo colonoscopy for screening purposes. In these cases patients should be offered an alternative CRC prevention test flexible sigmoidoscopy every 5-10 years or a computed tomography CT colonography every 5 years or a cancer detection test fecal immunochemical test for blood FIT . Am J Gastroenterol advance online publication 24 February 2009 doi INTRODUCTION The members of the writing committee carried out a systematic literature review and developed the updated guideline recommendation document. Only peer-reviewed English language articles were included. The criteria used for evaluation of studies and assessment of the category of evidence and strength of recommendation are shown in Table 1 1 . These guidelines have also been reviewed and approved by the Practice Parameters Committee of the American College of Gastroenterology ACG and by the ACG Board of Trustees. The ACG is an organization of more than 10 000 clinical gastroenterologists and related health professionals. In 2000 the ACG issued colorectal cancer CRC screening recommendations that endorsed colonoscopy every 10 years beginning at age 50 as the preferred CRC screening .

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