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Occult Blood Screening for Colorectal Cancer
Kevin K. Knight, MD, MPH;
Jonathan E. Fielding, MD, MPH;
Renaldo N. Battista, MD, ScD
JAMA. 1989;261(4):586-593.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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GENERAL BACKGROUND
Colorectal cancer has long been the target of efforts aimed at early detection. It is the second most common cancer in the United States, with 140 000 new cases and 60 000 deaths estimated to have occurred in 1987.1 It is uncommon in persons younger than 50 years but its incidence increases sharply thereafter.2 Investigations into the causes of colorectal cancer have not yielded a consensus strategy for prevention. However, early treatment generally is acknowledged to be more beneficial than late treatment. Early detection would thus seem to be a reasonable approach to lowering the toll of this cancer.
The American Cancer Society and the National Cancer Institute recommend yearly occult blood testing for all persons older than 50 years of age.3,4 The Canadian Task Force on the Periodic Health Examination has recommended the use of fecal occult blood testing by asymptomatic persons older than
. . . [Full Text PDF of this Article]
Author Affiliations
From the Schools of Public Health (Drs Knight and Fielding) and Medicine (Dr Fielding), University of California at Los Angeles; Johnson & Johnson Health Management Inc, Santa Monica, Calif (Drs Knight and Fielding); and the Department of Medicine, the Division of Clinical Epidemiology, Montreal General Hospital (Dr Battista).
Footnotes
Reprint requests to Johnson & Johnson Health Management Inc, 2825 Santa Monica Blvd, Santa Monica, Calif 90404 (Dr Fielding).
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