The Global Paradigm Shift in Screening for Colorectal Cancer

Graeme P. Young, Linda Rabeneck, Sidney J. Winawer,

Research output: Contribution to journalComment/debatepeer-review

59 Citations (Scopus)
133 Downloads (Pure)


In the last 20 years, screening for colorectal cancer (CRC) has undergone a paradigm shift once its prevention potential was recognized. It has progressed from parochial ad hoc opportunistic activities, led by clinical champions, to a structured, organized public health priority tailored to specific health-care environments in population-based settings. Indeed, 2018 marks the 20th anniversary of a global initiative established by the Organisation Mondiale d’Endoscopie Digestive (OMED, now the World Endoscopy Organization [WEO]) that was charged “to promote the international implementation of CRC screening programs.”1 This commentary evaluates this remarkable health care transformation and the reasons for its success.
Original languageEnglish
Pages (from-to)843-851.e2
Number of pages11
Issue number4
Early online date1 Feb 2019
Publication statusPublished - Mar 2019


  • Colonoscopy
  • Colorectal Neoplasms/diagnosis
  • Early Detection of Cancer/methods
  • Humans
  • Immunochemistry
  • Internationality
  • Occult Blood

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology


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