ASCO GUIDELINES Bundle

Colorectal Cancer Early Detection

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Table 2. Screening/Treatment Capacities by Setting Intervention Basic Limited Enhanced Maximal Patholog y If there is a way to send patholog y for review when needed, that should occur. Patholog y services in development H&E usually available, IHC and molecular tests are usually not available. Patholog y services usually available and IHC and molecular tests may be available. Patholog y available with specialist patholog y templates, genetic/ molecular testing available. Palliative care Palliative care service is not available. Limited medications for pain may be available. Pain and symptom management available; palliative care service is in development Palliative care specialty service not always available. Specialist palliative care service available. Table 3. Screening: Asymptomatic, Average-Risk Population, High-Incidence Areas, Age 50 –75 Method Basic Limited Enhanced Maximal Rec Number gFOBT People should receive highly sensitive gFOBT every 1 (preferred) – 2 years if resources are available (based on resources and patient adherence). People should receive highly sensitive gFOBT annually. 1.1 (Strong Recommendation; H) FIT People may receive FIT, if available, every 1 (preferred) – 2 years (based on resources and patient adherence). People may receive FIT annually. OR 1.2 (Moderate Recommendation; I) (cont'd) Treatment

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