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Comment & Response
October 25, 2016

Colorectal Cancer Screening Recommendations

Author Affiliations
  • 1Section of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas
JAMA. 2016;316(16):1715-1716. doi:10.1001/jama.2016.14918

To the Editor The US Preventive Services Task Force (USPSTF) recommendation statement on colorectal cancer screening1 recommends screening for black adults beginning at age 50 years, in contrast to the American College of Gastroenterology guidelines for colorectal cancer screening in 20092 that recommend screening beginning at age 45 years. The USPSTF report acknowledged that the black population has the highest incidence of and mortality rates from colorectal cancer compared with other racial groups. However, it overlooked differences in cancer biology, suggesting that the increased incidence and mortality rates may be accounted for by inequalities in screening, follow-up, and treatment and that “equal treatment generally seems to produce equal outcomes.”1

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