Table 4. Reflex Testing: If Patients Have a Positive Result From
CRC Screening
Rec Number Basic Limited Enhanced Maximal
2.
(Strong
Recommendation;
IC-Ins)
If patients have a
positive result from
CRC screening,
then clinicians
should refer patients
to colonoscopy
(first choice) or
sigmoidoscopy
(second choice) if
available. However,
because endoscopy
is not available in
most Basic settings,
clinicians should
perform or refer
patients to reflex
testing with double
contrast barium
enema.
Aer reflex testing:
if a patient's barium
enema results are
positive refer to
colonoscopy, if
available, otherwise
refer the patient to
surgery.
If patients have a
positive result from
CRC screening,
then clinicians
should perform or
refer patients to
a colonoscopy, if
available. If clinicians
cannot refer patients
to a colonoscopy,
then clinicians
should administer
a double contrast
barium enema.
Aer reflex testing:
If a patient's barium
enema results are
positive refer to
colonoscopy, if
available, otherwise
refer the patient to
surgery.
Note: If person in
Limited Setting
received positive
results om Flexible
Sigmoidoscopy
screening (± stool
screening ) and there
is low availability
of colonoscopy,
a completion
colonoscopy is not
mandatory. e
colonoscopy or DCBE
as reflex testing is
more warranted for
positive gFOBT, FIT,
stool DNA, DCBE,
or CT colonography.
If patients have a
positive result from
a non-colonoscopy
CRC screening, then
clinicians should
perform or refer patients
to a colonoscopy.
Treatment
