Background: There are many test options available for colorectal cancer screening. The choice of test relates to the objectives of those offering or considering screening.
Discussion: While all screening programs aim to detect disease early in order to improve the length and/or quality of life for the individual, some organizations and individuals prefer screening tests that offer the opportunity for cancer prevention. Others favor maximizing participation or the opportunity for shared decision-making, including discussion of information on test quality and availability. We propose three additional objectives for screening: minimizing harms, optimizing economic efficiency and maximizing equity of access to screening.
Summary: Applying these objectives to colorectal cancer screening, we advocate the use of immunochemical FOBTs as the preferred screening strategy, as it satisfies all three of these important objectives.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548714 | PMC |
| http://dx.doi.org/10.1186/1471-230X-12-183 | DOI Listing |
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