Workplace Toolkit to encourage colorectal cancer screening amongst eligible adults

For providers

18-44 45-49 50-75 76-85 years

Age years old years old years old old*

Screening is not
Screening is not Family history of Lynch Syndrome, Family history of Lynch Syndrome, recommended as
recommended FAP (familial adenomatous FAP (familial adenomatous net benefit for
unless symptoms polyposis) and HNPCC (Hereditary polyposis) and HNPCC (Hereditary screening in this
are present. Nonpolyposis Colorectal Cancer) Nonpolyposis Colorectal Cancer) group is small.
No Yes Yes No/Unsure
Initiate screening
10 years prior to
close relative
diagnosis after
discussion with
patient.**

Does at least 1 or more of the following apply to the patient: rectal bleeding,
bright red stool persistent nausea, black or tarry stool, diarrhea, unexpected
weight loss, persistent weakness and fatigue, persistent abdominal discomfort
No or pain like cramps, constantly feeling bloated, change in stool consistency
(narrow, dark patches)***
Yes

Does at least or more of the following apply to the patient: smoker, personal
or familial cancer history, diabetes, hypertension, obesity, unhealthy alcohol
use, Crohn’s disease, ulcerative colitis or Inflammatory Bowel Disease?

No/Unsure Yes
(at 10 Yes
Has it been years (colonoscopy), 5
years (flexible sigmoidoscopy), or more Has the patient completed a
than 1-3 years since stool test (***)? colorectal cancer screening
No
within the past 10 years
(colonoscopy), 5 years (flexible
sigmoidoscopy) or 1 year
(stool test)
Wait until next
due if there are Colorectal Yes
no current screening is
symptoms recommended

*The USPSTF recommends that clinicians selectively offer screening and determining whether this service is appropriate is based on individual
cases, patients and clinicians should consider the patient’s overall health, prior screening history and preferences.
**Close family relative includes a parent, child, sibling, grandparent, aunt, uncle, cousin
***Symptoms noted are not all inclusive. Note that colorectal cancer may or may not have any symptoms.
**** Stool tests include guaiac-based fecal occult blood test (gFOBT), fecal immunochemical test (FIT) or FIT-DNA test
Compiled by DNP Student at George Mason University in Fairfax, VA
January 2023