Colorectal cancer: moving beyond awareness

Brought to you by - Dr. Jay Singh, medical director of surgical services at Wellstar Health System

Since 2000, when then-President Bill Clinton designated March as Colorectal Cancer Awareness Month, the mission to decrease the worldwide incidence of the third most common cause of cancer and the second most common cause of cancer-related deaths has largely been successful if we simply measure “awareness.”

Unfortunately, as we have seen decreasing incidences in colorectal cancer related to screening, particularly colonoscopies, in older individuals, we have seen a disproportionate increase of cancers at younger ages. As a result, the current recommendation for screening has gone down from 50 years of age now to 45, as of 2021.

Awareness begins with education of not only the signs and symptoms of colorectal cancer but the fact that real prevention occurs before any symptoms can be seen. Awareness begins with understanding one’s own risks, including family history and personal behaviors that would immediately put someone at higher risk for developing colorectal cancer. We know that people with a first-degree relative who has had colorectal cancer are at twice the average risk of developing colorectal cancer and should generally get screened earlier. We know that people who smoke, consume alcohol or are obese are more likely to be diagnosed with colorectal cancer. Adopting healthy behaviors, including quitting the use of tobacco products, reducing alcohol consumption and eating meals that include fruits, vegetables and whole grains, can also reduce the risk.

Recognizing the impact that this disease has on individuals, families and society, Wellstar has invested in educational programs designed to get the word out, preventive programs that recognize that any test for colorectal cancer is better than no test and treatment programs that involve the comprehensive, multispecialty care of the disease process from diagnosis to treatment.

Wellstar has had an intensive focus on increasing access to screening by the creation and growth of a gastrointestinal service line spanning all our campuses and outpatient centers. This has been in coordination with growth of colorectal surgical services at Wellstar North Fulton Medical Center and the expansion of our minimally invasive and robotics programs throughout the system.

We are proud to have Atlanta’s first program recognized by the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons, at Wellstar Kennestone Regional Medical Center and hope to soon have that same accreditation at Wellstar North Fulton and Cobb medical centers. This accreditation demonstrates Wellstar’s commitment to providing personalized, high-quality cancer care close to home for patients in Georgia. Imagine, after being diagnosed with a potentially devastating illness, you could meet your whole treatment team and have a plan developed in one visit. This is all part of our mission at Wellstar to enhance the health and well-being of every person we serve.

Learn more about colorectal cancer screening at wellstar.org/cleancolons.