Report in English with a Dutch summary (KCE reports 45A)

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170 Screening for Colorectal Cancer: Appendices KCE reports vol.45 Nr Title Issued by Type Target population Screening methods / options considered Interval Supporting evidence classes & quality rating Rating system Conclusions Committee effective means of implementing such a program and to the feasibility, acceptability and costeffectiveness of such a program in the Australian setting, the program should commence with preliminary testing involving a number of pilot and feasibility studies. Grades of recommendati on
KCE reports vol.45 Screening for Colorectal Cancer: Appendices 171 Table 3: Guidelines & recommendations on CRC screening in case of a positive family history (N = 11) Nr. Title Issued by 1 ASGE guideline: colorectal cancer screening and surveillance 184 . 2 Colorectal Cancer Screening 58 . 3 Report on the Belgian consensus meeting on colorectal cancer screening 185 . Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) National Comprehensive Cancer Network (NCCN) Belgian Gastroenterologists community Last update 2006 2006 Target population Recommendations Starting at age Interval At least 1 FDR with CRC diagnosed < 60 y At least 1 FDR with CRC diagnosed 60 y At least 1 FDR with adenomatous polyp < 60 y At least 1 FDR with adenomatous polyp 60 y At least 1 SDR or third degree relative (TDR) with cancer or polyps 1 FDR with CRC < 50 y & 2 FDR with CRC at any age 1 FDR with CRC 50 y OR 2 SDR with CRC at any age 2005 1 FDR with adenoma or CRC 60 years old 2 FDR with adenoma or CRC 60 years old 1 FDR with adenoma or CRC < 60 y Colonoscopy 40 y or 10 y younger than affected relative (whichever is younger) Benefit of earlier colonoscopy for patients with one first-degree relative diagnosed with CRC at an advanced age is unclear Colonoscopy 40 y or 10 y younger than affected relative (whichever is Uniphase screening colonoscopy Check criteria for a defined syndrome ( high risk surveillance) If not meeting: colonoscopy Consider colonoscopy If normal, repeat every 3-5 y 40 y? If normal, repeat every 10 y younger) Age individualized 40 y or 10 y younger than affected relative (whichever is younger) Colonoscopy 40 y 30-35 y 10 y earlier than the age at diagnosis of the younger ill family member If normal, repeat every 5 y If normal, switch to average risk screening Repeat every 1-5 y Repeat every 5 y If normal, repeat at least every 10 y If normal, repeat every 3-5 y Repeat every 5 years Supporting evidence Rating system classes Grade B See Appendix 2 (UPSTF)-grading Category 2A Evidence discussed but not explicitly rated See Appendix 2 NCCN categories of consensus N/A
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KCE reports vol.45A Colorectale Kan
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2 Screening for Colorectal Cancer K
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10 Screening for Colorectal Cancer
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KCE reports 1. Effectiviteit en kos
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Report in English with a Dutch summary (KCE reports 45A)

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