An updated Asia Pacific Consensus Recommendations on colorectal cancer screening

Area of Science:

• Gastroenterology
• Oncology
• Public Health

Background:

• The Asia Pacific Consensus on Colorectal Cancer (CRC) was first published in 2008.
• Significant advancements have occurred in CRC screening science and implementation since 2008.

Purpose of the Study:

• To provide updated consensus recommendations for CRC screening in the Asia Pacific region.
• To incorporate recent scientific advancements and practical experiences in CRC screening.

Main Methods:

• A modified Delphi process was employed by members from 14 Asian regions.
• Consensus was reached by reviewing national and international guidelines and literature from 2008-2013.

Main Results:

• CRC screening age range is 50-75 years.
• Risk factors include age, male sex, family history, smoking, and obesity.
• Quantitative FIT is preferred over gFOBT for average-risk screening; risk-stratified scoring for colonoscopy selection is recommended.
• High-definition white light endoscopy is effective; chromoendoscopy shows no superior adenoma detection.
• Quality assurance and serrated adenoma recognition are crucial for interval cancer prevention.

Conclusions:

• Updated CRC screening recommendations are established based on recent data.
• These consensus statements aim to improve CRC screening implementation across the Asia Pacific.