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Fast Facts

Colorectal cancer—cancer of the colon or rectum—is the second leading cause of cancer-related deaths in the United States. In 2004, more than 53,000 people in the United States died of colorectal cancer (26,881 men and 26,699 women).¹*

Colorectal cancer also is one of the most commonly diagnosed cancers in the United States. In 2004, more than 145,000 people in the United States were diagnosed with colorectal cancer (73,997 men and 71,086 women), making it the third most common cancer in men and in women.¹

Findings from CDC's 2000 National Health Interview Survey indicate that many people who are at risk for colorectal cancer are not being screened.² Although screening rates are beginning to rise, they remain too low to achieve the Healthy People 2010 objective for reducing mortality from colorectal cancer. In 2004, approximately 57% of adults aged 50 years or older reported having received a fecal occult blood test (FOBT) or lower endoscopy within 1 year of being surveyed by CDC's Behavioral Risk Factor Surveillance System, compared with 54% of adults surveyed in 2002.⁵

A recent CDC study demonstrated that:

• Approximately 41.8 million average-risk people aged 50 or older have not been screened for colorectal cancer according to national guidelines.



• The U.S. health care system has enough capacity to conduct widespread screening of the unscreened population, using FOBT and diagnostic colonoscopy for those with a positive FOBT.



• Widespread screening with flexible sigmoidoscopy or colonoscopy may take up to 10 years, depending on the proportion of available capacity used for colorectal cancer screening.^{3 4}

*Incidence counts cover approximately 98% of the U.S. population. Death counts cover 100% of the U.S. population. Use caution in comparing incidence and death counts.

References

1. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 2004 Incidence and Mortality. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and Prevention, and National Cancer Institute; 2007.



2. Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the National Health Interview Survey. Cancer 2003;97:1528–1540.



3. Seeff LC, Manninen DL, Dong FB, Chattopadhyay SK, Nadel MR, Tangka FKL, Molinari N-AM. Is there endoscopic capacity to provide colorectal cancer screening to the unscreened population of the United States? Gastroenterology 2004;127:1661–1669.



4. Seeff LC, Richards TB, Shapiro JA, Nadel MR, Manninen DL, Given LS. How many endoscopies are performed for colorectal cancer screening? Results for the CDC's survey of endoscopic capacity. Gastroenterology 2004;127:1670–1677.



5. Seeff LC, King J, Pollack LA, Williams KN. Increased use of colorectal cancer tests — United States, 2002 and 2004. MMWR 2006;55(11):308–311.