Guideline
Changes: Colorectal Cancer Decision Support Tool
The 2019 Prevention & Early Detection of Colorectal Cancer: a CRICO Decision Support Tool, contains changes or enhancements in the following areas:
Risk Management
- Increased emphasis or clearer guidance regarding:
- patients age 45–50 with known indicators of advanced risk
- patients age 85 or older
- inadequate bowel prep (and communication among providers)
- Simplified screening guidelines for patients at normal risk
CRICO Malpractice Claims Data and Examples
- Updated data on the prevalence of colorectal cancer cases, most frequently named physician specialties, and where in the process of care systems breakdowns occur
- Updated MPL case examples
Patient Risk Assessment
- Streamlined the risk assessment process
- Highlighted shifting risk for patients under age 50
- Emphasized the increased CRC risk for patients who have a history of non-gastrointestinal malignancies treated with abdominal chemotherapy or radiation
- Added clarity regard advanced adenomas
More Focus on Key Problem Areas
- Added/consolidated content specific to areas of common concern:
- Patients under age 50 with rectal bleeding
- Collecting a meaningful history
- Bowel preparation
- Screening intervals
- Coordination of care
Advantages/Disadvantages for Colorectal Cancer Screening Options
- Simplified and reorganized into three tiers per U.S. Multi-Society Task Force
- Added Cologuard-specific content
Patient Discussion Points
- Enhance section regarding bowel prep
References
- Updated supporting evidence
- Added recognition of the U.S. Multi-Society Task Force as key reference
- Added listing of hereditary syndromes
For questions about the CRICO Colorectal Care Management Decision Support Tool, contact CRICO Senior Editor, Jock Hoffman.
More CRICO Guidelines or Algorithms
CRICO decision support tools.
General Informed Consent Guidelines
Guideline
A document to assist institutions in reviewing policies, procedures and forms relative to obtaining and documenting informed consent.
Challenge: Take the OB Clinical Guidelines Test
Guideline
Take this test and see if you already follow these best practices from the Obstetrical Services of the CRICO-insured Institutions.
OB Guideline 15: Assessment and Monitoring in Labor and Delivery
Guideline
During prenatal care, the clinician and patient will discuss common events and procedures in labor, including methods of assessing fetal well-being.
Obstetrics Guidelines Listing
Guideline
Easily navigate this web-based version of the OB guidelines 1-35 and the sample form appendices A-H. The OB Guidelines PDF is also available on this page if you want to read or print it in booklet form. (2022 version available)