The Curbsiders Internal Medicine Podcast #297 CRC Screening, Common Skin Complaints, and Antibiotic Pearls (TFTC #8)
Sep 29, 2021
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Screening Age Lowered Due To Rising Early CRC
- The USPSTF lowered colorectal cancer screening age because early-onset CRC is rising and ~10.5% of new cases occur under 50.
- Screening reduces cancer and mortality at a population level.
Let Patient Preference Guide CRC Test Choice
- Offer any guideline-approved CRC screening patients will complete and discuss tradeoffs in shared decision-making.
- Use colonoscopy for longer intervals or FIT/sDNA for patients preferring noninvasive testing.
Individualize Screening In Older Adults
- In ages 75–85 individualize screening by life expectancy, function, and prior screening history.
- Consider screening a healthy 75–85-year-old who never had prior screening.