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April 2014

Colorectal Cancer Screening Guidelines Across Canada . Environmental Scan. April 2014. Background.

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April 2014

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  1. Colorectal Cancer Screening Guidelines Across Canada Environmental Scan April 2014

  2. Background • Quarterly, the Canadian Partnership Against Cancer collects information from the provinces/territories and international organizations on the status of population-based colorectal cancer screening programs and/or strategies. • This information compares current guidelines and evidence-based recommendations in order to identify leading practices. April 2014

  3. Presentation Outline • Canadian Task Force on Preventive Health Care Guidelines • Colorectal Cancer Screening Program Status/Availability • Fecal Test Recruitment Strategies • Entry Level Fecal Test Sampling Details • Follow-Up after Abnormal Result • Colonoscopy Details • Increased Risk Population Screening Recommendations April 2014

  4. Canadian Task Force on Preventive Health Care Guidelines The Canadian Task Force on Preventive Health Care (2001) recommends the following for colorectal cancer screening: • For people at normal risk there is good evidence to support the inclusion of annual or biennial fecal occult blood testing (A recommendation) and fair evidence to include flexible sigmoidoscopy (B recommendation) in the periodic health examinations of asymptomatic individuals over 50 years. • Revisions to the current guidelines are in process, for more information please visit: http://canadiantaskforce.ca/ April 2014

  5. Colorectal Cancer Screening Program Status

  6. Colorectal Cancer Screening Program Status, cont’d April 2014

  7. Colorectal Cancer Screening Program Availability

  8. Fecal Test Guaiac (FTg) Recruitment Strategy: Invitation Method, Follow-Up and Dissemination Process *pick-up kit at pharmacy

  9. Fecal Immunochemical Test (FIT) Recruitment Strategy: Invitation Method, Follow-Up and Dissemination Process

  10. Entry Level Test: FTg Sampling Details April 2014

  11. Entry Level Test: FIT Sampling Details

  12. Entry Level Test: FIT Sampling Details, cont’d

  13. Entry Level Test: Follow-up to Abnormal Fecal Test Result April 2014

  14. Re-screening Recommendations for +Fecal Test and Negative* Colonoscopy * No cancer or polyp found April 2014

  15. Increased Risk Screening Recommendations* *Not all programs coordinate referrals of increased risk population

  16. Increased Risk Screening Recommendations*, cont’d *Not all programs coordinate referrals of increased risk population

  17. Increased Risk Screening Recommendations*, cont’d *Not all programs coordinate referrals of increased risk population April 2014

  18. Reference Slide Please use the following reference when citing information from this presentation: Cancerview.ca. Colorectal Cancer Screening Guidelines Across Canada: Environmental Scan. Toronto: Canadian Partnership Against Cancer; [enter date]. Available from: [enter URL link] April 2014

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