For Patient Referrals:
Assess the patient for increased risk:
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Family history
- Familial adenomatous polyposis (FAP), hereditary non-polyposis colorectal cancer (HNPCC) also known as Lynch syndrome, Turcot syndrome, Peutz-Jeghers syndrome, or MUTYH-associated polyposis
- Previous diagnosis of CRC or intestinal polyps
- Inflammatory bowel disease, chronic ulcerative colitis, or Crohn's disease
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Genetic risk
- Genetic diagnosis of familial adenomatous polyposis (FAP) or suspected FAP without genetic evidence
- Genetic or clinical diagnosis of hereditary non-polyposis colorectal cancer
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Non-modifiable risk factors
- Age >50, or >45 (African American, Alaska Native, American Indian)?
- African American
- Ashkenazi Jew
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Modifiable risk factors
- Obese
- Poor diet (low fiber intake, eating less than 5+ servings of fruit/vegetables daily, or more than 3 oz. meat daily)
- Smoker
- Heavy alcohol use
- Type-II diabetes
If patient answers "Yes" to any of those questions
Patient may meet average risk screening criteria, and the nurse should encourage the patient to engage in informed shared decision-making with his/her provider to determine if screening is warranted, and if so, the appropriate screening method.
Refer patient to FightCancer.me for personalized cancer prevention and screening information, in order to play an active role in his/her health care planning.