Skip Navigation

Annals of Oncology 2005 16(1):42-45; doi:10.1093/annonc/mdi030
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Rozen, P.
Right arrow Articles by Smith, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rozen, P.
Right arrow Articles by Smith, R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 2005 European Society for Medical Oncology

Special article

Workgroup V: professional education and advocacy. UICC International Workshop on Facilitating Screening for Colorectal Cancer, Oslo, Norway (29 and 30 June 2002)

P. Rozen1, M. Pignone2, M. Crespi3, D. Criblez4, S. A. El-Badawy5, R. Leicester6, S. Otto7, C. Pox8, M. Richards9, D. Smith10,*, S. Spann11, G. P. Young12 and R. Smith13

1 Tel Aviv Medical Center, Tel Aviv, Israel; 2 University of North Carolina, Chapel Hill, Chapel Hill, NC, USA; 3 UEGF-PAC, Rome, Italy; 4 Professional Organisation of Swiss Gastroenterologists, Lucerne, Switzerland; 5 National Cancer Institute, Cairo, Egypt; 6 St. George's Hospital, London, UK; 7 National Institute of Oncology, Budapest, Hungary; 8 Medizinische Universitätsklinik, Bochum, Germany; 9 St. Thomas' Hospital, London, UK; 10 American Cancer Society, Washington, DC, USA; 11 Baylor College of Medicine, Houston, TX, USA; 12 Flinders Medical Centre, Adelaide, Australia; 13 American Cancer Society, Atlanta, GA, USA

* Correspondence to: Dr R. Smith, American Cancer Society, 1599 Clifton Road NE, Atlanta, GA 30329, USA. Tel: +1-404-329-7610; Email: Robert.Smith@cancer.org

The first 150 words of the full text of this article appear below.


   Introduction
 
Colorectal cancer is an important cause of morbidity and mortality throughout the developed and industrializing/westernizing world [1Go]. Etiological causes include the ‘Western’ or industrialized world lifestyle, innate genetic susceptibility and the interaction between the two. The biological progress to clinical cancer is stepwise, over a period of time. This gives us a ‘window of opportunity’ to identify and treat the precancerous adenomatous polyps or early-stage cancer, before it is beyond medical treatment (Figure 1). Strong evidence now indicates that screening for colorectal cancer can decrease colorectal cancer incidence and mortality [2Go, 3Go]. Many countries are now considering, or pilot testing, organized programs of colorectal cancer screening [4Go]. Others have begun opportunistic screening [5Go].


Figure Removed (Available Only in the Full Text)
View larger version (25K):
[in this window]
[in a new window]
  		Figure 1. Line A depicts the natural history of disease in the absence of a screening test. Line B depicts lead-time bias. Although the diagnosis of disease is made earlier with the . . . [Full Text of this Article]

 

   Health professionals' roles in implementing screening
 
Educating and training in colorectal cancer screening

   Barriers to effective screening and overcoming them
 
Patient barriers
Provider barriers
Health-care system barriers

   Specific recommendations for promoting screening implementation
 
Develop and disseminate structured educational programs for members of the public, providers, health-care systems and policy makers/political leaders
Develop evidence-based standards for quality throughout the screening process
Develop and disseminate inexpensive, easy to use, data management systems
Advocate screening
Promote colorectal cancer screening as part of comprehensive clinical preventive care

   Summary of key issues
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?