Screening for Colorectal Cancer: The Role of Clinical Laboratories

Clin Chem. 2024 Jan 4;70(1):150-164. doi: 10.1093/clinchem/hvad198.

Abstract

Background: Colorectal cancer (CRC) is a leading cause of cancer incidence and mortality. Screening can result in reductions in incidence and mortality, but there are many challenges to uptake and follow-up.

Content: Here, we will review the changing epidemiology of CRC, including increasing trends for early and later onset CRC; evidence to support current and emerging screening strategies, including noninvasive stool and blood-based tests; key challenges to ensuring uptake and high-quality screening; and the critical role that clinical laboratories can have in supporting health system and public health efforts to reduce the burden of CRC on the population.

Summary: Clinical laboratories have the opportunity to play a seminal role in optimizing early detection and prevention of CRC.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Biological Transport
  • Clinical Laboratory Services*
  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / epidemiology
  • Early Detection of Cancer
  • Humans
  • Laboratories, Clinical