What are the new recommended guidelines for early detection of colorectal cancer?

Based on an expert panel’s review of the historic and recent evidence, the following tests are acceptable options for the early detection of colorectal cancer and adenomatous polyps for asymptomatic, average risk adults aged 50 years and older:

Tests That Detect Adenomatous Polyps and Cancer

• Flexible sigmoidoscopy (FSIG) every 5 years, or
• Colonoscopy (CSPY) every 10 years, or
• Double contrast barium enema (DCBE) every 5 years, or
• CT colonography (CTC) every 5 years

Tests That Primarily Detect Cancer

• Annual guaiac-based fecal occult blood test (gFOBT) with high test sensitivity for cancer, or
• Annual fecal immunochemical test (FIT) with high test sensitivity for cancer, or
• Stool DNA test (sDNA) with high sensitivity for cancer, interval uncertain