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Table 1 Criteria used to define risk categories in accordance with national CRC screening guidelines.

From: Colorectal cancer risk assessment and screening recommendation: a community survey of healthcare providers' practice from a patient perspective

Risk Category*

 

At or slightly above average risk

• No personal history of bowel cancer. • Either no close relatives with bowel cancer or one first-degree or second-degree relative with bowel cancer diagnosed at age 55 years or older.

Moderately increased risk

• One first-degree relative diagnosed before the age of 55 years (without potentially high-risk features listed below), or • Two first-degree relatives or one first- and one second-degree relative(s) on the same side of the family (without potentially high-risk features listed below).

Potentially high risk

• Three or more first-degree or a combination of first-degree and second-degree relatives on the same side of the family diagnosed with bowel cancer (suspected HNPCC**), or Two or more first-degree or second-degree relatives on the same side of the family diagnosed with bowel cancer, including the following risk feature: bowel cancer before the age of 50 years or at least one-relative with cancer of the endometrium, ovary, stomach, small bowel, renal pelvis, ureter, biliary tract or brain.

  1. * Risk features potentially placing persons at possible increased risk, including personal history of adenoma, inflammatory bowel disease or suspected familial adenomatous polyposis (FAP) were not assessed in the survey. **HNPCC (Hereditary non-polyposis colorectal cancer), also known as Lynch syndrome.