© 2003 by BMJ Publishing Group & British Society of Gastroenterology
PROTAGONIST
Population based endoscopic screening for colorectal cancer
Cancer Research UK Colorectal Cancer Unit, St Mark’s Hospital, Northwick Park, Middlesex, UK
Correspondence to:
Correspondence to:
W S Atkin
wendy.atkin@cancer.org.uk
Accepted 24 October 2002
Keywords: endoscopy; screening; colorectal cancer
| The first 150 words of the full text of this article appear below. |
We propose that there should be a national colorectal cancer screening programme in the UK, and that there is a good case to base it on a single flexible sigmoidoscopy (FS) at approximately 60 years of age, possibly supplemented by faecal occult blood testing (FOBT) after age 60 years, predominantly for the detection of early proximal cancers.
There is no longer doubt that screening is an effective method of reducing colorectal cancer (CRC) incidence and mortality rates. The US Preventive Services Task Force1 recently reviewed the evidence and gave a grade A recommendation that all men and women over the age of 50 years should be screened for CRC. In the UK, the Department of Health has demonstrated its commitment to CRC screening by funding a national demonstration pilot to assess the feasibility and acceptability of FOBT in the general population.2 Together with the MRC it is also funding a
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