Choosing Wisely:

Don’t repeat colorectal cancer screening (by any method) for 10 years after a high-quality colonoscopy is negative in average-risk individuals.

Rationale and Comments: A screening colonoscopy every 10 years is the recommended interval for adults without increased risk of colorectal cancer, beginning at 50 years of age. Published studies indicate the risk of cancer is low for 10 years after a high-quality colonoscopy fails to detect neoplasia in this population. Therefore, following a high-quality colonoscopy with normal results the next interval for any colorectal screening should be 10 years following that normal colonoscopy.
Sponsoring Organizations:
  • American Gastroenterological Association
  • Sources:
  • U.S. Multi-Society Task Force on Colorectal Cancer
  • Disciplines:
  • Preventive Medicine
  • Oncologic
  • Gastroenterologic
  • References: • Winawer S, et. al. Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology. 2003;124(2):544-60.
    • Rex DK, et. al. Quality indicators for colonoscopy. Gastrointest Endosc. 2006;63(4 suppl):S16-28.

    Email Alerts

    Don't miss a single issue. Sign up for the free AFP email table of contents.

    Sign Up Now