Treatment
Table 2. Screening/Treatment Capacities by Setting
Intervention Basic Limited Enhanced Maximal
Screening No screening
available.
No mass
screening
available.
Individuals may
only access 1
screening per
lifetime.
Limited mass
screening ;
primarily
opportunistic
screening.
Invitation,
reminder,
registration,
monitoring,
evaluation, recall
systems already
in place.
Population
likely to access
more than one
screening per
lifetime.
Reflex testing/
Endoscopy
DRE or barium
enema possible.
Flex
sigmoidoscopy
available
Colonoscopy
available
Colonoscopy
available
Imaging X-Ray and
someone to
read it.
CT CT/MRI
available
CR/MRI/PET
widely available
Surgery General surgery
with minor
operating room
available.
General surgery
with operating
room.
OR, ICU,
colorectal
surgery available,
may or may not
have access to
laparascopic
approaches.
Specialist surgery
services widely
available with
minimally
invasive surgical
options (e.g,
laparascopic,
robotic).
Chemotherapy Availability of
chemotherapy
drugs is
unpredictable.
Some
chemotherapy
available (maybe
not so specific).
More
chemotherapy
options
available,
targeted therapy
may or may not
be available.
Chemotherapy
available;
targeted therapy
available.
Radiation
therapy
No radiation
therapy
available. In
some Basic
settings,
radiation may
be available but
very limited,
unpredictable.
Limited external
RT with no
brachytherapy
available services
may not always
be available/
unpredictable.
RT including
external
beam and
brachytherapy
available;
interventional
radiolog y not
available.
RT including
external
beam and
brachytherapy
available;
interventional
radiolog y
available (e.g.
IMRT, IORT).
