Blacks have the highest colorectal cancer (CRC) incidence and mortality of any racial/ethnic group in the United States.1 Indeed, at every age, CRC incidence is higher for blacks than for non-Hispanic whites (Figure). Differences in CRC incidence and mortality have been attributed to poor access to care, failure of physicians to recommend CRC screening, and low rates of participation when screening is offered, as well as possible differences in tumor characteristics and genetics among blacks compared with other groups.2,3