Population-based colorectal cancer screening
An overview of Ontario’s program

Linda Rabeneck, MD, MPH, FRCPC

Colorectal cancer (CRC) is the second most common cause of cancer deaths in Ontario, after lung cancer. A estimated 7800 Ontario men and women will be diagnosed with CRC in 2007, and 3250 will die from this disease.1

 

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Top-line summary
Too many Canadians are diagnosed with advanced colorectal cancer. Evidence for the effectiveness of screening for preventing deaths from this important malignancy has been available since the 1990s, yet rates of screening remain at 20% or less in most parts of Canada. Screening rates for breast and cervical cancer are much higher, thanks to concerted efforts by governments, the medical establishment and advocacy groups. Ontario was the first of several Canadian provinces to announce plans to implement population-based screening to redress this low rate, with the launch of the Ontario Colorectal Cancer Screening Program. Successful implementation of this ambitious program will require a strong team effort. Other provinces are at various stages in development of screening programs.
 
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