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Article: Asia Pacific consensus recommendations for colorectal cancer screening

TitleAsia Pacific consensus recommendations for colorectal cancer screening
Authors
Issue Date2008
PublisherBMJ Publishing Group. The Journal's web site is located at http://gut.bmjjournals.com/
Citation
Gut, 2008, v. 57 n. 8, p. 1166-1176 How to Cite?
Abstract
Colorectal cancer (CRC) is rapidly increasing in Asia, but screening guidelines are lacking. Through reviewing the literature and regional data, and using the modified Delphi process, the Asia Pacific Working Group on Colorectal Cancer and international experts launch consensus recommendations aiming to improve the awareness of healthcare providers of the changing epidemiology and screening tests available. The incidence, anatomical distribution and mortality of CRC among Asian populations are not different compared with Western countries. There is a trend of proximal migration of colonic polyps. Flat or depressed lesions are not uncommon. Screening for CRC should be started at the age of 50 years. Male gender, smoking, obesity and family history are risk factors for colorectal neoplasia. Faecal occult blood test (FOBT, guaiac-based and immunochemical tests), flexible sigmoidoscopy and colonoscopy are recommended for CRC screening. Double-contrast barium enema and CT colonography are not preferred. In resource-limited countries, FOBT is the first choice for CRC screening. Polyps 5-9 mm in diameter should be removed endoscopically and, following a negative colonoscopy, a repeat examination should be performed in 10 years. Screening for CRC should be a national health priority in most Asian countries. Studies on barriers to CRC screening, education for the public and engagement of primary care physicians should be undertaken. There is no consensus on whether nurses should be trained to perform endoscopic procedures for screening of colorectal neoplasia.
Persistent Identifierhttp://hdl.handle.net/10722/60558
ISSN
2013 Impact Factor: 13.319
ISI Accession Number ID
References

 

Author Affiliations
  1. Raja Isteri Pengiran Anak Saleha Hospital
  2. Asan Medical Center
  3. University of Santo Tomas, Manila
  4. Sano Hospital
  5. Xijing Hospital
  6. American Cancer Society
  7. Yong Loo Lin School of Medicine
  8. The University of Hong Kong
  9. National Cancer Center Hospital
  10. Prince of Wales Hospital Hong Kong
  11. Chulalongkorn University
  12. University of Malaya
  13. Flinders University of South Australia
  14. National Taiwan University Hospital
  15. All India Institute of Medical Sciences
  16. National University of Singapore
  17. OHSU School of Medicine
DC FieldValueLanguage
dc.contributor.authorSung, JJYen_HK
dc.contributor.authorLau, JYWen_HK
dc.contributor.authorYoung, GPen_HK
dc.contributor.authorSano, Yen_HK
dc.contributor.authorChiu, HMen_HK
dc.contributor.authorByeon, JSen_HK
dc.contributor.authorYeoh, KGen_HK
dc.contributor.authorGoh, KLen_HK
dc.contributor.authorSollano, Jen_HK
dc.contributor.authorRerknimitr, Ren_HK
dc.contributor.authorMatsuda, Ten_HK
dc.contributor.authorWu, KCen_HK
dc.contributor.authorNg, Sen_HK
dc.contributor.authorLeung, SYen_HK
dc.contributor.authorMakharia, Gen_HK
dc.contributor.authorChong, VHen_HK
dc.contributor.authorHo, KYen_HK
dc.contributor.authorBrooks, Den_HK
dc.contributor.authorLieberman, DAen_HK
dc.contributor.authorChan, FKLen_HK
dc.date.accessioned2010-05-31T04:13:38Z-
dc.date.available2010-05-31T04:13:38Z-
dc.date.issued2008en_HK
dc.identifier.citationGut, 2008, v. 57 n. 8, p. 1166-1176en_HK
dc.identifier.issn0017-5749en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60558-
dc.description.abstractColorectal cancer (CRC) is rapidly increasing in Asia, but screening guidelines are lacking. Through reviewing the literature and regional data, and using the modified Delphi process, the Asia Pacific Working Group on Colorectal Cancer and international experts launch consensus recommendations aiming to improve the awareness of healthcare providers of the changing epidemiology and screening tests available. The incidence, anatomical distribution and mortality of CRC among Asian populations are not different compared with Western countries. There is a trend of proximal migration of colonic polyps. Flat or depressed lesions are not uncommon. Screening for CRC should be started at the age of 50 years. Male gender, smoking, obesity and family history are risk factors for colorectal neoplasia. Faecal occult blood test (FOBT, guaiac-based and immunochemical tests), flexible sigmoidoscopy and colonoscopy are recommended for CRC screening. Double-contrast barium enema and CT colonography are not preferred. In resource-limited countries, FOBT is the first choice for CRC screening. Polyps 5-9 mm in diameter should be removed endoscopically and, following a negative colonoscopy, a repeat examination should be performed in 10 years. Screening for CRC should be a national health priority in most Asian countries. Studies on barriers to CRC screening, education for the public and engagement of primary care physicians should be undertaken. There is no consensus on whether nurses should be trained to perform endoscopic procedures for screening of colorectal neoplasia.en_HK
dc.languageengen_HK
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://gut.bmjjournals.com/en_HK
dc.relation.ispartofGuten_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong Licenseen_HK
dc.subject.meshAsia - epidemiology-
dc.subject.meshAsian Continental Ancestry Group - statistics and numerical data-
dc.subject.meshColorectal Neoplasms - diagnosis - ethnology-
dc.subject.meshIntestinal Polyps - diagnosis - ethnology-
dc.subject.meshMass Screening - methods-
dc.titleAsia Pacific consensus recommendations for colorectal cancer screeningen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0017-5749&volume=57&issue=8&spage=1166&epage=76&date=2008&atitle=Asia+Pacific+consensus+recommendations+for+colorectal+cancer+screeningen_HK
dc.identifier.emailNg, S:ssmng@hku.hken_HK
dc.identifier.emailLeung, SY:suetyi@hkucc.hku.hken_HK
dc.identifier.authorityNg, S=rp00767en_HK
dc.identifier.authorityLeung, SY=rp00359en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1136/gut.2007.146316en_HK
dc.identifier.pmid18628378en_HK
dc.identifier.scopuseid_2-s2.0-48249119880en_HK
dc.identifier.hkuros162302en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-48249119880&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume57en_HK
dc.identifier.issue8en_HK
dc.identifier.spage1166en_HK
dc.identifier.epage1176en_HK
dc.identifier.isiWOS:000257646200026-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.citeulike5199501-

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