Screening and surveillance examinations are effective in lowering colo
rectal cancer risk. Screening tests have been demonstrated to reduce c
olorectal cancer mortality. Colonoscopic removal of adenomatous polyps
has been determined to reduce colorectal cancer incidence. High-risk
individuals and their family members should be identified and offered
more aggressive recommendations for appropriate screening and surveill
ance guidelines. Colorectal cancer screening strategies are in an acce
ptable range of cost effectiveness.