Screening for Colorectal Cancer
From the USPSTF and the JAMA Network. Learn more.
In 2016, the United States Preventive Services Task Force updated its recommendations for screening for colorectal cancer. The Task Force (link to recommendation here) recommends the following:
- Screen for colorectal cancer starting at age 50 and continuing until age 75 years (A recommendation)
- Adults aged 76 to 85 can make individualized decisions about screening based on their screening history and health (C recommendation); never-screened and healthier adults are more likely to benefit.
- Adults older than age 85 can forego screening because other causes of death preclude a benefit from detecting cancer through screening.
Patients and physician can choose among available screening tests because there is no information demonstrating that any one is better than another; the best test is the one most likely to lead to patient adherence to screening over time.
Related Articles
Recommendation Statement
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement
Screening for Colorectal Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
Estimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies: Modeling Study for the US Preventive Services Task Force
Editorial: Clinical Practice Guidelines for Colorectal Cancer Screening: New Recommendations and New Challenges
Patient Page: Screening for Colorectal Cancer
Patient Page: Screening Tests for Colorectal Cancer
JAMA Oncology
Colorectal Cancer Screening: Which Test Is Best?
JAMA Internal Medicine
Fecal Blood Testing or Colonoscopy: What Is the Best Method for Colorectal Cancer Screening?
More Colorectal Cancer Screening Articles From the JAMA Network
Screening for Colorectal Cancer and Evolving Issues for Physicians and Patients: A Review
JAMA | Review, November 22/29, 2016
Population-Based Colonoscopy Screening for Colorectal Cancer: A Randomized Clinical Trial
JAMA Internal Medicine | Original Investigation, May 23, 2016
Colorectal Cancer Screening With Colonoscopy
JAMA Internal Medicine | Invited Commentary, May 23, 2016
Evidence-Based, Reality-Driven Colorectal Cancer Screening Guidelines: The Critical Relationship of Adherence to Effectiveness
JAMA | Viewpoint, May 17, 2016
Medicare Coverage of Anesthesia Services During Screening Colonoscopies for Patients at Low Risk of Sedation-Related Complications
JAMA Internal Medicine | Research Letter, November 2015
Variation in Adenoma Detection Rate and the Lifetime Benefits and Cost of Colorectal Cancer Screening: A Microsimulation Model
JAMA | Original Investigation, June 16, 2015
Increasing Disparities in the Age-Related Incidences of Colon and Rectal Cancers in the United States, 1975-2010
JAMA Surgery | Original Investigation, January 2015
Screening Young Adults for Nonhereditary Colorectal Cancer
JAMA Surgery | Invited Commentary | January 2015
A Stool DNA Test (Cologuard) for Colorectal Cancer Screening
JAMA | From The Medical Letter on Drugs and Therapeutics, December 17, 2014
Effect of Flexible Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality: A Randomized Clinical Trial
JAMA | Original Investigation, August 13, 2014
Flexible Sigmoidoscopy for Colorectal Cancer Screening: More Evidence, Persistent Ironies
JAMA | Editorial, August 13, 2014
Comparative Effectiveness of a Multifaceted Intervention to Improve Adherence to Annual Colorectal Cancer Screening in Community Health Centers: A Randomized Clinical Trial
JAMA Internal Medicine | Original Investigation, August 2014
"BeneFITs" to Increase Colorectal Cancer Screening in Priority Populations
JAMA Internal Medicine | Invited Commentary, August 2014
Too Many US Adults Still Pass Up Colorectal Cancer Screening
JAMA | News From the Centers for Disease Control and Prevention, January 1, 2014
Screening for Colorectal Cancer in Individuals at Average Risk: Current Methods and Emerging Issues
JAMA Internal Medicine | Viewpoint, January 2014
Comparative Effectiveness of Fecal Immunochemical Test Outreach, Colonoscopy Outreach, and Usual Care for Boosting Colorectal Cancer Screening Among the Underserved: A Randomized Clinical Trial
JAMA Internal Medicine | Original Investigation, October 14, 2013
QuickStats: Percentage of Adults Aged 50–75 Years Who Received Colorectal Cancer Screening, by Family Income Level—National Health Interview Survey, United States, 2010
JAMA | From the Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, February 27, 2013
A Randomized Comparison of Print and Web Communication on Colorectal Cancer Screening
JAMA Internal Medicine | Original Investigation, Jan 28, 2013
Increasing Colorectal Cancer Screening Adherence: Comment on “A Randomized Comparison of Print and Web Communication on Colorectal Cancer Screening”
JAMA Internal Medicine | Invited Commentary, Jan 28, 2013
Adherence to Colorectal Cancer Screening: A Randomized Clinical Trial of Competing Strategies
JAMA Internal Medicine | Original Investigation, Apr 9, 2012
The Importance of Choosing Colorectal Cancer Screening Tests: Comment on “Adherence to Colorectal Cancer Screening”
JAMA Internal Medicine | Invited Commentary, Apr 9, 2012