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Shared Decision-Making in Colorectal Cancer Screening
Jonathan T Bliggenstorfer1, James G Connolly1, Jonathan S Abelson1
1Division of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts, United States.
Clinics in Colon and Rectal Surgery
|August 5, 2026
Summary
Colorectal cancer (CRC) screening is crucial for prevention. This review covers CRC screening methods, emphasizing personalized strategies and shared decision-making for better patient outcomes.
Area of Science:
- Oncology
- Preventive Medicine
- Gastroenterology
Background:
- Colorectal cancer (CRC) remains a significant cause of cancer mortality in the U.S.
- CRC is highly preventable with timely screening.
- Effective screening strategies are vital for public health.
Purpose of the Study:
- To review current colorectal cancer (CRC) screening modalities.
- To highlight the strengths, limitations, and recommendations for each screening method.
- To emphasize personalized screening based on individual risk factors.
Main Methods:
- Comprehensive literature review of CRC screening tests.
- Analysis of colonoscopy, stool-based tests, flexible sigmoidoscopy, CT colonography, and capsule endoscopy.
- Evaluation of screening modalities in the context of patient risk profiles and shared decision-making.
Main Results:
- Each screening modality possesses unique advantages and disadvantages.
- Individualized screening plans improve adherence and effectiveness.
- Shared decision-making is key for patient engagement in CRC screening.
Conclusions:
- Tailoring colorectal cancer (CRC) screening to patient risk factors is essential.
- Shared decision-making facilitates optimal screening choices, particularly for underserved populations.
- Continued evaluation of screening modalities is necessary to improve CRC prevention.
