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New Guideline Lowers Age to Begin Colorectal Cancer Screening


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Data on colorectal cancer (CRC) screening gathered over the past decade have prompted the American College of Gastroenterology (ACG) to update its guidelines, last issued in 2009.
The new recommendations, published online in the
American Journal of Gastroenterology,state that screening should start at age 45 for persons of average risk.
We now know that the risk is higher than we appreciated for people from age 40 onward. Today, a 45-year-old has the same risk as a 50-year-old had 10 years ago, said Aasma Shaukat, MD, MPH, of the University of Minnesota School of Medicine in Minneapolis, in an ACG introductory podcast to the new guidelines. ....

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COVID-19's Collateral Damage: Reduced Colorectal Cancer Care


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The COVID-19 pandemic adversely impacted the detection and management of colorectal cancer (CRC) across England, according to a population-based study.
The number of people being referred to hospitals with suspected lower gastrointestinal cancer, and the number subsequently diagnosed, fell sharply during the first lockdown in March and a deficit persisted until September, which translated to >3,500 fewer people than expected starting treatment in the period April to October 2020, based on levels for the same period in 2019, reported Eva J.A. Morris, PhD, of the Big Data Institute at the University of Oxford, and colleagues.
As delays in diagnosis allow tumours to continue to grow and advance, this bottleneck in the diagnostic pathway is likely to have a profoundly detrimental impact on colorectal cancer outcomes in England, they wrote in ....

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