Colon cancer screening · Patient guide

Colonoscopy prevents colon cancer

A colonoscopy can find and remove a growth before it ever turns into cancer — in one visit. Stool and blood tests can only tell you something might be wrong.

How screening tests compare

High-risk growths found out of 100

Colonoscopy

95 of 100

high-risk growths found and removed

Cologuard Plus (stool test)43 of 100
FIT (stool test)23 of 100
Shield (blood test)13 of 100

Sources: Knudsen & Lin et al., JAMA 2021 · Imperiale et al., NEJM 2024 · Burke et al., AGA 2022 · Chung et al., NEJM 2024

Your screening options

Alternative

Cologuard Plus

Stool sample you mail in

Every 3 years

Only finds problems

Alternative

FIT

Stool sample you mail in

Every year

Only finds problems

Alternative

Shield

Simple blood draw

Every 3 years

Only finds problems

What should you do?

Ask your doctor about colonoscopy first — it's the best single test for most adults.

Can't have one? A stool or blood test is still better than skipping screening.

Most people should start at age 45. Ask what's right for you.

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