Yeoh et al reported the Asia-Pacific Colorectal Screening (APCS) score for evaluating asymptomatic Asian adults for risk of colorectal cancer. This can help to identify a patient who may benefit from more aggressive testing. The authors are from multiple institutions from around Asia.
Patient selection: asymptomatic Asian person
Parameters:
(1) age in years
(2) gender
(3) family history of colorectal cancer in a first-degree relative
(4) smoking
Parameter |
Finding |
Points |
age in years |
< 50 years of age |
0 |
|
50 to 69 years of age |
2 |
|
>= 70 years of age |
3 |
gender |
Female |
0 |
|
Male |
1 |
family history |
absent |
0 |
|
present |
2 |
smoking |
never |
0 |
|
ever (current or past) |
1 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
• The higher the score the greater the risk of colorectal cancer.
Score |
Risk of Colorectal Cancer |
0 or 1 |
average risk |
2 or 3 |
moderate risk |
4 to 7 |
high risk |
Specialty: Hematology Oncology, Surgery, general, Gastroenterology