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

KCE reports vol.45 Screening for Colorectal Cancer 49
a coordinated international approach to the appraisal of clinical
guidelines and to identify potential areas for harmonization of
guideline development178, 174.
Health Care/Prevention Recommendations (HC/PR), on the other hand, are
issued by regional, national or supranational (EU, WHO, ) governmental
advisory committees involved with public health and chiefly address the public,
politicians and the public health administrations of the respective countries.
They focus on implementation of cancer screening programs within the frame
of the general priority setting on the use of healthcare resources, screening
coverage and compliance, quality assurance at all levels and good public
information about benefits and risks 179. Although grounded on published
scientific evidence, structured grading of the evidence generally is not their main
concern.
Table 11 gives an overview of the 20 retrieved guidelines and recommendations
on CRC screening and surveillance. Some of them solely deal with average risk
screening (mass screening), others include recommendations on increased risk
screening and/or surveillance topics.