ASCO GUIDELINES Bundle

Colorectal Cancer Early Detection

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Key Points ➤ This pocket guide focuses on the role of the early detection of colorectal cancer and the management of any polyps found during colorectal cancer screening among those at average risk, as well as the workup and diagnosis of colorectal cancer. ➤ Different regions of the world differ with respect to access to early detection. • Very few locations outside of high-income countries (HICs) have mass or even opportunistic screening. Even within countries/regions, variations occur between rural and urban and between areas with basic primary care and better-resourced medical care not available in the local area but rather further away. Table 1. Framework of Resource Stratification Setting Basic Core resources or fundamental services that are absolutely necessary for any public health/primary health care system to function; basic-level services typically are applied in a single clinical interaction. Limited Second-tier resources or services that are intended to produce major improvements in outcome such as incidence and cost-effectiveness and are attainable with limited financial means and modest infrastructure; limited- level services may involve single or multiple interactions. Universal public health interventions feasible for greater percentage of population than primary target group. Enhanced ird-tier resources or services that are optional but important; enhanced- level resources should produce further improvements in outcome and increase the number and quality of options and individual choice. (Perhaps ability to track patients and links to registries). Maximal May use high-resource settings' guidelines. High-level/state-of-the art resources or services that may be used/available in some high-resource countries and/or may be recommended by high- resource setting guidelines that do not adapt to resource constraints but that nonetheless should be considered a lower priority than those resources or services listed in the other categories on the basis of extreme cost and/or impracticality for broad use in a resource-limited environment. NOTE: Data adapted. To be useful, maximal-level resources typically depend on the existence and functionality of all lower level resources. Treatment

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