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结肠癌的筛查指南

 清风明月无尽藏 2015-05-19
Adults, beginning at age 50 years and continuing until age 75 years

The USPSTF recommends screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary.  
 

The USPSTF recommends the service. There is high certainty that the net benefit is substantial.
Adults age 76 to 85 years

The USPSTF recommends against routine screening for colorectal cancer in adults 76 to 85 years of age. There may be considerations that support colorectal cancer screening in an individual patient. 
 

The USPSTF recommends against routinely providing the service. There may be considerations that support providing the service in an individual patient. There is at least moderate certainty that the net benefit is small.
Adults older than age 85 years

The USPSTF recommends against screening for colorectal cancer in adults older than age 85 years. 
 

The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits
Computed Tomographic Colonography and Fecal DNA testing as screening modalities

The USPSTF concludes that the evidence is insufficient to assess the benefits and harms of computed tomographic colonography and fecal DNA testing as screening modalities for colorectal cancer. 

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined.

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