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Cancer Prevention

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
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Cancer Prevention

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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Population Colorectal Cancer Screening in Asia: Insights From Established Programs.

Wen-Feng Hsu¹, Masau Sekiguchi^2,3, Jeongkuk Seo⁴

¹Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Journal of Gastroenterology and Hepatology

|March 30, 2026

Summary

This summary is machine-generated.

Population-based fecal immunochemical test (FIT) screening effectively reduces colorectal cancer (CRC) mortality in East Asia. Future strategies involve personalized screening, including lowering the screening age and risk stratification, to further combat CRC burden.

Keywords:

colonoscopy colorectal cancer colorectal cancer screening fecal immunochemical test

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Area of Science:

Public Health
Gastroenterology
Oncology

Background:

Colorectal cancer (CRC) presents a significant global health challenge, with Asia as the current epicenter.
Population-based screening is crucial for CRC control in Asia.

Purpose of the Study:

To comprehensively analyze national CRC screening programs in Japan, South Korea, and Taiwan.
To compare strategies, effectiveness, and quality assurance (QA) frameworks.
To identify challenges and future directions in CRC screening.

Main Methods:

Analysis of program governance, screening strategies, and effectiveness data.
Evaluation of quality assurance (QA) frameworks and cost-effectiveness.
Review of emerging policies, including those for young-onset CRC.

Main Results:

Fecal immunochemical test (FIT) is the primary screening method in these countries, significantly reducing CRC mortality.
Colonoscopy is considered but faces capacity and manpower challenges for population screening.
Quality assurance (QA) is vital for program effectiveness; risk-adapted strategies are most efficient.
Rising incidence of young-onset CRC necessitates earlier screening initiation.

Conclusions:

Population-based FIT screening is highly effective in East Asia.
Future CRC screening should adopt a personalized approach, incorporating risk stratification and adjusted screening ages.
These adaptations aim to build on current successes and reduce the regional CRC burden.