ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Screening Colonoscopy Updates: What they mean for your Practice

Video Transcription

Video Summary

The September 2022 GI QUIC Quick Bytes webinar series featured a discussion on colorectal cancer screening guidelines and recommendations. The webinar started with an overview of the GI QUIC registry and its purpose, followed by presentations and discussions on three different patient cases. The experts emphasized that the screening age for average-risk men and women has been dropped to 45, according to updated guidelines from ACG, ASGE, and USPSTF. The primary screening modalities recommended are screening colonoscopy or stool-based tests such as FIT. The experts also touched on the benefits of organized outreach screening programs and the importance of timely diagnostic colonoscopy following a positive FIT result. They highlighted that individuals with one to two small tubular adenomas are considered low-risk and recommended follow-up with colonoscopy in seven to ten years. They mentioned that there is potential for emerging data on the use of stool-based testing in low-risk adenomas, but at present, colonoscopy is the recommended follow-up test. The webinar concluded with a discussion on coding and billing for FIT and Cologard positive tests, with an emphasis on the importance of considering them as part of the screening cascade. Overall, the webinar provided valuable insights into colorectal cancer screening guidelines and the application of these guidelines in clinical practice.

Asset Subtitle

Dr. Aasma Shaukat, Dr. Carol Burke, Dr. Audrey Calderwood

Keywords

colorectal cancer screening guidelines

average-risk men and women

screening colonoscopy

stool-based tests

FIT

low-risk adenomas

follow-up test

coding

billing