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Cited by 741Colorectal Cancer Screening and DetectionGlobal Cancer Incidence and ScreeningColorectal Cancer Surgical Treatments

The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

Screening for Colorectal Cancer in Adults at Average Risk: A Summary of the Evidence for the U.S. Preventive Services Task Force

Pignone, Michael, Rich, Melissa, Teutsch, Steven M., Berg, Alfred O., Lohr, Kathleen N.·2002·Annals of Internal Medicine
DOI 10.7326/0003-4819-137-2-200207160-00015
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Abstract

PURPOSE: To assess the effectiveness of different colorectal cancer screening tests for adults at average risk. DATA SOURCES: Recent systematic reviews; Guide to Clinical Preventive Services, 2nd edition; and focused searches of MEDLINE from 1966 through September 2001. The authors also conducted hand searches, reviewed bibliographies, and consulted context experts to ensure completeness. STUDY SELECTION: When available, the most recent high-quality systematic review was used to identify relevant articles. This review was then supplemented with a MEDLINE search for more recent articles. DATA EXTRACTION: One reviewer abstracted information from the final set of studies into evidence tables, and a second reviewer checked the tables for accuracy. Discrepancies were resolved by consensus. DATA SYNTHESIS: For average-risk adults older than 50 years of age, evidence from multiple well-conducted randomized trials supported the effectiveness of fecal occult blood testing in reducing colorectal cancer incidence and mortality rates compared with no screening. Data from well-conducted case-control studies supported the effectiveness of sigmoidoscopy and possibly colonoscopy in reducing colon cancer incidence and mortality rates. A nonrandomized, controlled trial examining colorectal cancer mortality rates and randomized trials examining diagnostic yield supported the use of fecal occult blood testing plus sigmoidoscopy. The effectiveness of barium enema is unclear. Data are insufficient to support a definitive determination of the most effective screening strategy. CONCLUSIONS: Colorectal cancer screening reduces death from colorectal cancer and can decrease the incidence of disease through removal of adenomatous polyps. Several available screening options seem to be effective, but the single best screening approach cannot be determined because data are insufficient.

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Crossref · 10.7326/0003-4819-137-2-200207160-00015

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Citations

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Research works printed but not linked: 9

  1. Yamamoto M, 2000, Hepatogastroenterology, 47, 396
  2. 10.1001/archinte.1991.00400110044009 · DOI
  3. Berry DP, 1997, Br J Surg, 84, 1274
  4. Foliente RL, 1996, Am J Gastroenterol, 91, 705
  5. Lo AY, 1994, J Am Coll Surg, 179, 333
  6. DiPrima RE, 1988, Am J Gastroenterol, 83, 123
  7. Nivatvongs S, 1988, Am Surg, 54, 61
  8. Brynitz S, 1986, Ann Chir Gynaecol, 75, 142
  9. Rex DK, 2000, Am J Gastroenterol, 95, 868

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Metadata

Authors
Pignone, M., Rich, M., Teutsch, S. M., Berg, A. O., & Lohr, K. N.
Affiliations
University of North Carolina at Chapel Hill (US)
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
2002-07-16
Volume
137
Issue
2
Pages
132-141
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-137-2-200207160-00015
OpenAlex
W2072878220
Cited by
741
References
64
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 8 · 2018: 10 · 2017: 13 · 2016: 15 · 2015: 28 · 2014: 36 · 2013: 24 · 2012: 33
FWCI
5.48
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Public Health Service (290-97-0011)
Topics
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Surgical Treatments
Keywords
colorectal cancer screening, average-risk population, fecal occult blood test, sigmoidoscopy, colonoscopy, barium enema, colorectal cancer mortality, adenomatous polyps, colorectal cancer incidence, screening effectiveness
MeSH terms
Age Factors, Colonoscopy, Enema, Female, Humans, Male, Mass Screening, Middle Aged, Occult Blood, Physical Examination, Rectum, Sigmoidoscopy, Time Factors, Colorectal Neoplasms, Evidence-Based Medicine

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