Description

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

 


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