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


  • 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.
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