Colorectal Cancer Screening
Cet article présente les recommandations d'un groupe d'experts américains sur le dépistage du cancer colorectal
The MSTF performed a systematic review of articles related to CRC screening, supplemented by additional relevant articles found via manual review. The quality of evidence and strength of each recommendation were assessed using the GRADE system (Table). Although randomized trial data are lacking, numerous cohort and case-control studies have shown an association between colonoscopy and decreased CRC incidence and mortality3,4 leading to the recommendation for colonoscopy as first-tier CRC screening. The recommended 10-year interval is based on studies of the natural history of adenoma progression. Annual FIT is also supported as first-tier screening and is particularly suited to programmatic screening because of its noninvasive nature, low cost, and high sensitivity for CRC.
JAMA , article en libre accès, 2018