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Changes: Colorectal Cancer Decision Support Tool

By Jock Hoffman, CRICO

Related to: Claims, Clinical Guidelines, Communication, Diagnosis, Primary Care, Other Specialties

The 2014 version of the Prevention & Early Detection of Colorectal Cancer: a CRICO Decision Support Tool, contains changes or enhancements in the following areas: 

Risk Management for Colorectal Cancer Screening

  • Emphasis on risk management for patients who present with a complaint of rectal bleeding.  

CRICO Malpractice Claims Data from 2008–2012

  • Current data on the prevalence of colorectal cancer cases, most frequently named physician specialties, where in the process of care systems breakdowns occur.

Risk Assessment

  • Streamlining of the risk assessment process for patients with or without colorectal symptoms.

Advantages/Disadvantages for Colorectal Cancer Screening Options

  • Evidence-based recognition that sigmoidoscopy and colonoscopy are equally effective as a screening modality for (asymptomatic) patients at average risk of developing colorectal cancer
  • Clarifications of the guidance for primary care providers on aligning expectations related to colon visualization modalities.

Patient Education


  • This interactive 20 question test allows you to test your knowledge of this algorithm. When you submit your answers, the test will show you if you passed.


  • Supporting evidence was reviewed and updated.

For questions about the CRICO Colorectal Care Management Decision Support Tool, contact CRICO Senior Editor, Jock Hoffman.

March 4, 2014
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