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Monday, June 24, 2013
  Clinical Accuracy Spoken Here  

Colorectal Cancer: Incidence

Colorectal cancer (CRC) is the third most common type of non-skin cancer in men (after prostate cancer and lung cancer) and in women (after breast cancer and lung cancer). It is the second leading cause of cancer death in the United States after lung cancer. The rate of new cases and deaths resulting from this disease is decreasing. Still, over 147,000 new cases are diagnosed, and more than 57,000 people die from colorectal cancer each year.

[Reference: Colorectal Cancer, Module A, Pathophysiology]
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  Excellence in Case Mgmt  

CRC: "Risk" Factoids

  • 90% of cases occur in persons aged 50 years or older
  • Removing polyps may reduce CRC risk
  • Close relatives of a person with a history of CRC are more likely to develop this disease
  • A person who has already had CRC may develop it again
  • Chronic inflammation of the colon (ulcerative colitis or Crohn's disease) increases CRC risk
  • Diets high in animal fat and low in calcium, folate, and fiber increases the risk of CRC
  • A person who smokes cigarettes is at increased risk of CRC
  • A sedentary lifestyle is associated with an increased risk of CRC

[Reference: Colorectal Cancer, Module A, Pathophysiology]
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  Improving Patient Care...  

CRC: Screening, Prevention

Studies indicate that colorectal cancer screening is likely to be cost-effective regardless of the strategy chosen.

Persons at higher risk should begin screening at a younger age.

Discontinuing screening is reasonable in patients whose age or comorbid conditions limit life expectancy.

Developing patient education based on evidence-based practice related to pathophysiology, epidemiology and risk factors, and current recommendations related to screening is a critical goal that will have an impact on prevention and treatment to avoid extensive pathology.

[Reference: Colorectal Cancer, Module A, Pathophysiology]
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