The PEI Colorectal Cancer Screening Clinical Practice Guidelines and the PEI Cervical Cancer Screening guidelines have been formally updated.
SUMMARY OF CHANGES – December 2019
Summary of Recommendations - Screening People for Colorectal Cancer
An individual’s risk of developing colorectal cancer (CRC) is based on their age and their personal or family history of CRC or adenomatous polyps. A personal history of inflammatory bowel disease (IBD) and several genetic conditions can increase the risk of CRC.
- For asymptomatic individuals of average risk between 50 and 74 years of age, every 2 years CRC screening using the 2-sample Fecal Immunochemical Test (FIT) is recommended.
- For symptomatic individuals of any age, immediate referral for a colonoscopy is recommended. The use of fecal testing is not recommended.
- Individuals with increased risk due to family history of CRC in a first-degree relative, colonoscopy screening at age 40 (or 10 years earlier than the individual’s youngest affected relative) every 5 years is recommended.
- When there is a family history of adenoma in a first-degree relative colonoscopy at age 40, or 10 years earlier than the individual’s youngest affected relative, is recommended.
- For individuals with a family history in one or more second-degree relatives, screening is the same as those of average risk.
- For individuals at increased risk due to genetic conditions, annual or biennial colonoscopy or annual sigmoidoscopy screening is recommended. The specific condition determines the screening tool and interval.
- If colonoscopy detects an abnormality, refer to the surveillance guidelines.
Summary of Recommendations - Screening People for Cervical Cancer
- It is recommended that asymptomatic women aged 25-65 years be routinely screened for cervical cancer with a conventional Pap test every three years.
- Cervical cancer screening should be delayed until a woman is sexually active (i.e. sexual intercourse/penetration, oral sex, digital sex, skin to skin contact with genitals/genital area with a partner of any sex).
- For women 66 years of age or older who have undergone adequate screening (i.e. at least three consecutive negative pap tests in the past 10 years), it is recommended that routine screening is discontinued.
- (a) For women 66 years of age and older, who have not undergone adequate screening, it is recommended to continue screening until three consecutive negative test results have been obtained in the past 10 years.
The Cancer Screening Clinical Practice Guidelines documents can be found on the Health PEI Policies and Procedures Manual website (MedWorxx). Further information is also available at https://src.healthpei.ca/cancer
The PEI Colorectal Cancer Screening Program/Cervical Cancer Screening Service
Health PEI, Four Neighbourhoods Health Centre
152 St. Peters Rd, Charlottetown, PE, C1A 5P8