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Action Plan on Colorectal Cancer for the State of Texas

Contents
Executive Summary
Introduction
 
The Challenge: Colorectal Cancer in Texas
  What is Colorectal Cancer?
Risk Factors
Incidence and Mortality
Prevention and Screening Guidelines
Current Knowledge, Attitudes and Practices
Access to and Availability of Services
Financial and Policy Issues
Current Resources
 
Recommendations
Conclusion
References
Appendices
  A. Texas Counties with Highest Colorectal Cancer Mortality, 1990-97
  B. Texas Medical Association Physician Survey
  C. ACS Division Colorectal Cancer Outcomes, 2000-2005
  D. Windsor Village United Methodist Church LIFE Ministry Strategic Plan
 
 
 

Prevention and Screening Guidelines

 

Changes in diet (increased intake of vegetables and other sources of fiber and decreased intake of red meat and alcohol), increased physical activity and screening for colorectal cancer or adenomatous polyps may have played a role in more recently observed declines in incidence and death rates, suggesting the potential for increased benefits in the future. [ 13 ] The U.S. Preventive Services Task Force, the American Cancer Society and the Interdisciplinary Task Force established new screening guidelines for colorectal cancer that were published in the mid-1990s. The American Cancer Society guidelines currently recommend that individuals age 50 and older at average risk have:

• Annual fecal occult blood test and flexible sigmoidoscopy every five years; OR

• Colonoscopy every ten years; OR

• Double-contrast barium enema every five to ten years. (More recent data suggest that the double-contrast barium enema may not have the necessary sensitivity to be used in the routine screening of average-risk individuals.) [ 14 ]

Individuals at moderate or high risk should consult with their physicians to have earlier or more frequent screenings as part of an approved management plan. Table 4 outlines the ACS guidelines in more detail.

 

 

 

 
 

 


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