Global guidelines of colorectal cancer screening in high-risk population with family history of colorectal cancer: a systematic review.
10.3760/cma.j.cn112338-20220422-00331
- VernacularTitle:全球针对家族史高危人群的结直肠癌筛查指南推荐意见的系统综述
- Author:
Yu SU
1
;
Hao Ran ZHAN
1
;
Xin SUN
2
;
Ru CHEN
2
;
Li SUN
3
;
Jin Jin HAO
4
;
Xiao Peng ZHANG
5
;
Yu TIAN
1
;
Rui CHEN
1
Author Information
1. School of Public Health, Capital Medical University, Beijing 100069, China.
2. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
3. People's Medical Publishing House, Beijing 100021, China.
4. Beijing Hospital/National Center of Gerontology/Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China.
5. Gastrointestinal Cancer Center, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital and Institute, Beijing 100142, China.
- Publication Type:Systematic Review
- MeSH:
Adult;
Colonoscopy;
Colorectal Neoplasms/epidemiology*;
Early Detection of Cancer;
Humans;
Mass Screening;
Risk Factors
- From:
Chinese Journal of Epidemiology
2022;43(9):1469-1478
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To systematically summarize and evaluate the development of update and detailed recommendations of the existing global screening guidelines in high-risk population with a family history of colorectal cancer. Methods: The words "colorectal cancer", "screening", "guideline", "consensus", "recommendations" and "family history" in Chinese and English were used as MESH terms for literature retrieval, as well as entry terms. The retrieval was performed based on China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, PubMed, Embase, Cochrane Library and Web of Science, as well as official websites. The languages of literatures were limited in Chinese and English. As of May 24, 2022, a total of 20 valid literatures had been retrieved. The basic information of the literatures and the recommendations of colorectal cancer screening for people with family history were collected and analyzed. Results: The analysis on the 20 literatures indicated that most countries/regions/institutions recommended age range of screening, screening modalities and intervals for people with family history of colorectal cancer. For the individuals who have one first-degree relative diagnosed with colorectal cancer before 60 years of age,most guidelines recommended the screening to be started at 40 years or 10 years earlier than the age when the youngest first-degree relative was diagnosed. The most commonly recommended screening modality was colonoscopy. Conclusions: Most current screening guidelines for high-risk people with family history of colorectal cancer recommend colonoscopy as the main modality. This review will provide reference for the update of screening strategies in high-risk people with family history of colorectal cancer in China, and further improve the practices of screening, early diagnosis and treatment of colorectal cancer.
