Article: Asia Pacific consensus recommendations for colorectal cancer screening

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TitleAsia Pacific consensus recommendations for colorectal cancer screening
AuthorsSung, JJY10
Lau, JYW10
Young, GP13
Sano, Y4
Chiu, HM14
Byeon, JS1
Yeoh, KG16
Goh, KL12
Sollano, J3
Rerknimitr, R11
Matsuda, T9
Wu, KC6
Ng, S10
Leung, SY8
Makharia, G15
Chong, VH2
Ho, KY5
Brooks, D7
Lieberman, DA17
Chan, FKL10
Issue Date2008
PublisherBMJ Publishing Group. The Journal's web site is located at http://gut.bmjjournals.com/
CitationGut, 2008, v. 57 n. 8, p. 1166-1176 [How to Cite?]
DOI: http://dx.doi.org/10.1136/gut.2007.146316
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.
ISSN0017-5749
2011 Impact Factor: 10.111
2011 SCImago Journal Rankings: 0.883
DOIhttp://dx.doi.org/10.1136/gut.2007.146316
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorSung, JJY
dc.contributor.authorLau, JYW
dc.contributor.authorYoung, GP
dc.contributor.authorSano, Y
dc.contributor.authorChiu, HM
dc.contributor.authorByeon, JS
dc.contributor.authorYeoh, KG
dc.contributor.authorGoh, KL
dc.contributor.authorSollano, J
dc.contributor.authorRerknimitr, R
dc.contributor.authorMatsuda, T
dc.contributor.authorWu, KC
dc.contributor.authorNg, S
dc.contributor.authorLeung, SY
dc.contributor.authorMakharia, G
dc.contributor.authorChong, VH
dc.contributor.authorHo, KY
dc.contributor.authorBrooks, D
dc.contributor.authorLieberman, DA
dc.contributor.authorChan, FKL
dc.date.accessioned2010-05-31T04:13:38Z
dc.date.available2010-05-31T04:13:38Z
dc.date.issued2008
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.
dc.description.naturepublished_or_final_version
dc.identifier.citationGut, 2008, v. 57 n. 8, p. 1166-1176 [How to Cite?]
DOI: http://dx.doi.org/10.1136/gut.2007.146316
dc.identifier.citeulike5199501
dc.identifier.doihttp://dx.doi.org/10.1136/gut.2007.146316
dc.identifier.epage1176
dc.identifier.hkuros162302
dc.identifier.isiWOS:000257646200026
dc.identifier.issn0017-5749
2011 Impact Factor: 10.111
2011 SCImago Journal Rankings: 0.883
dc.identifier.issue8
dc.identifier.openurl
dc.identifier.pmid18628378
dc.identifier.scopuseid_2-s2.0-48249119880
dc.identifier.spage1166
dc.identifier.urihttp://hdl.handle.net/10722/60558
dc.identifier.volume57
dc.languageeng
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://gut.bmjjournals.com/
dc.publisher.placeUnited Kingdom
dc.relation.ispartofGut
dc.relation.referencesReferences in Scopus
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
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 screening
dc.typeArticle
Author Affiliations
  1. Asan Medical Center
  2. Raja Isteri Pengiran Anak Saleha Hospital
  3. University of Santo Tomas, Manila
  4. Sano Hospital
  5. Yong Loo Lin School of Medicine
  6. Xijing Hospital
  7. American Cancer Society
  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