Subscribe for unlimited access to DynaMed content, CME/CE & MOC credit, and email alerts on content you follow.

Already subscribed? Sign in now

Learn more about CME

Colorectal Cancer Screening


You must be a subscriber to see the full topic content.

  • KeyboardArrowRight

    Overview and Recommendations

    • Screening recommendations

    • Efficacy of screening

  • Related Summaries

  • KeyboardArrowRight


    • General information

    • KeyboardArrowRight

      Traditional/Conventional (tubular and villous) adenomas

      • Features and characteristics

      • Risk factors

    • KeyboardArrowRight

      Serrated lesions

      • Characteristics and types of serrated lesions

      • Serrated adenoma risk factors

    • Colonic mucosubmucosal elongated polyp

  • KeyboardArrowRight

    Etiology and Pathogenesis

    • Polyp cancer sequence

    • KeyboardArrowRight

      Polyposis syndromes

      • KeyboardArrowRight

        Adenoma polyposis syndromes

        • Familial adenomatous polyposis

        • MUTYH-associated polyposis (MAP)

      • Serrated polyposis syndrome

      • KeyboardArrowRight

        Hamartoma polyposis syndromes

        • Juvenile polyposis syndrome (JPS)

        • Peutz-Jeghers syndrome (PJS)

        • PTEN hamartoma tumor syndrome (PHTS)

        • Cronkhite-Canada syndrome

      • Lynch syndrome (hereditary nonpolyposis colon cancer or HNPCC)

  • KeyboardArrowRight


    • 2018 American Cancer Society

    • 2017 United States Multi-Society Task Force (ACG/AGA/ASGE)

    • 2016 United States Preventive Services Task Force (USPSTF)

    • American College of Physicians (ACP)

    • 2016 Canadian Task Force on Preventive Health Care

    • 2019 American Society of Clinical Oncology

    • National Institutes of Health (NIH) consensus on serrated polyps

    • 2013 Alaska Native Medical Center

  • KeyboardArrowRight

    Risk Assessment

    • Risk factors

    • Scoring systems for identification of high-risk patients

  • KeyboardArrowRight

    Screening Methods

    • Colonoscopy (optical colonoscopy)

    • Stool tests

    • Flexible sigmoidoscopy

    • Virtual colonoscopy (computed tomographic colonography)

    • KeyboardArrowRight

      Alternative screening methods

      • Serum testing for altered DNA and RNA (Septin9)

      • Capsule endoscopy

      • Fecal pyruvate kinase M2 assay

  • KeyboardArrowRight

    Interventions to Increase Colorectal Cancer Screening

    • Sequential or multiple test choice screening

    • Mailings

    • Telephone calls

    • Digital health interventions

    • Patient education and decision aids

    • Stepped interventions

    • Other interventions

    • Interventions for increasing compliance to follow-up if positive result

  • Post-colonoscopy colorectal cancer

  • KeyboardArrowRight

    Quality Improvement

    • Medicare Hospital Outpatient Department Quality Measures

    • Physician Quality Reporting System Quality Measures

    • World Endoscopy Organization

    • Choosing Wisely

    • Choosing Wisely Australia

    • Choosing Wisely Canada

    • Choosing Wisely Italy

    • Additional Information

  • KeyboardArrowRight

    Guidelines and Resources

    • KeyboardArrowRight


      • International guidelines

      • United States guidelines

      • United Kingdom guidelines

      • Canadian guidelines

      • European guidelines

      • Asian guidelines

      • Australian and New Zealand guidelines

    • Review articles

  • Patient Decision Aids

  • Patient Information

  • KeyboardArrowRight

    ICD Codes

    • ICD-10 codes

  • KeyboardArrowRight


    • General references used

    • Recommendation grading systems used

    • Synthesized Recommendation Grading System for DynaMed

    • DynaMed Editorial Process

    • Special acknowledgements

    • How to cite

Topic Editor
Brian C. Weiner MD, MS, FACP, AGAF

Deputy Editor of Gastroenterology, DynaMed; Massachusetts, United States; Clinical Associate Professor, Medicine, Gastroenterology/Hepatology/Nutrition, University of Florida; Florida, United States

Conflicts of Interest

Dr. Weiner declares no relevant financial conflicts of interest.

Recommendations Editor
Allen Shaughnessy PharmD, M Med Ed, FCCP

Professor of Family Medicine and Director of Master Teacher Fellowship, Tufts University; Massachusetts, United States

Conflicts of Interest

Dr. Shaughnessy declares no relevant financial conflicts of interest.

Deputy Editor
Alan Ehrlich MD, FAAFP

Executive Editor, DynaMed; Associate Professor of Family Medicine, University of Massachusetts Medical School; Massachusetts, United States

Conflicts of Interest

Dr. Ehrlich declares no relevant financial conflicts of interest.

Produced in collaboration with American College of Physicians