Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Jun 15, 2022; 14(6): 1086-1102
Published online Jun 15, 2022. doi: 10.4251/wjgo.v14.i6.1086
Practical considerations for colorectal cancer screening in older adults
Dana Gornick, Anusri Kadakuntla, Alexa Trovato, Rebecca Stetzer, Micheal Tadros
Dana Gornick, Anusri Kadakuntla, Alexa Trovato, Albany Medical College, Albany Medical College, Albany, NY 12208, United States
Rebecca Stetzer, Division of Geriatrics, Albany Medical Center, Albany, NY 12208, United States
Micheal Tadros, Division of Gastroenterology, Albany Medical Center, Albany, NY 12208, United States
Author contributions: Gornick D, Kadakuntla A, and Trovato A wrote the paper; Gornick D and Kadakuntla A contributed to the figures and tables; Gornick D, Stetzer R, and Tadros M made critical revisions; and Tadros M approved final version of manuscript to be published.
Conflict-of-interest statement: The authors disclose no conflicts of interest or external funding for this publication.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Micheal Tadros, FACG, MD, Associate Professor, Doctor, Division of Gastroenterology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, United States.
Received: December 13, 2021
Peer-review started: December 13, 2021
First decision: March 13, 2022
Revised: March 23, 2022
Accepted: April 30, 2022
Article in press: April 30, 2022
Published online: June 15, 2022
Core Tip

Core Tip: Clinical guidelines do not recommend colorectal cancer (CRC) screening after age 75. Given the improvements in CRC treatment and post-treatment survival, and increasing life expectancy in the population, the current approach to CRC screening in older adults needs to be revised. This review examines the personalization of CRC screening in older individuals based on specific factors influencing life and health expectancy. Screening modalities, techniques, and risks are also discussed.