• Users Online: 163
  • Print this page
  • Email this page
REVIEW ARTICLE
Year : 2019  |  Volume : 11  |  Issue : 2  |  Page : 42-55

Colorectal cancer screening guidelines for Nigeria in 2019


1 Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria
2 Department of Medicine, University of Ilorin, Ilorin, Nigeria
3 Department of Pathology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
4 Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria
5 Department of Radiotherapy, University of Benin, Benin, Nigeria
6 Division of Gastroenterology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

Correspondence Address:
Prof. Olusegun Isaac Alatise
Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, PMB 5538, Ile-Ife
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/NJGH.NJGH_15_20

Rights and Permissions

Colorectal cancer (CRC) is a major public health issue in Nigeria. The incidence is rising, and majority of the patients diagnosed with CRC, die of the disease burden. CRC is an ideal cancer for screening and early detection. It has been well documented that screening for CRC, by a variety of methods, leads to a sustained reduction in mortality from the disease in two ways: increased detection of early stage with more curable cancer and detection and removal of adenomas, which are known precursors to CRC. Screening has also been shown to be cost-effective in terms of quality-adjusted life-years gained compared to nonscreening. CRC screening can be approached as an organized program or on an opportunistic basis. Opportunistic screening is the only option in systems that lack the resources, infrastructure, and framework needed for an organized approach. A myriad of CRC screening tests exist, which can be divided into two main categories namely biological sample-based tests, which include fecal, blood, and urine tests, and colonic structure-based tests, which include flexible sigmoidoscopy, colonoscopy, and imaging studies such as computed tomography colonography, magnetic resonance imaging colonography, and double-contrast barium enema. The recommendation for CRC screening includes offering patients the opportunity to select test, based on their preference, affordability, and test availability. This decision-making process is personalized and requires an understanding between the patient and doctor. This guideline reviews the available evidence and makes recommendation on the screening method for CRC in Nigeria.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed107    
    Printed0    
    Emailed0    
    PDF Downloaded31    
    Comments [Add]    

Recommend this journal