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Date of Award

Spring 2025

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Zachary Weik DSc, MHS, PA-C

Abstract

Colorectal cancer (CRC) is one of the most common forms of cancer, typically manifesting in the later stages of life. Through ongoing technological advances and research, the medical field continues to make breakthroughs in CRC treatment.1 CRC rates are declining in people over age 65, while cases have increased by 2% in those aged 50-64 since 2011.2 Healthcare providers need to update their CRC screening guidelines to reflect changing patient demographics, environmental factors, and evolving lifestyle patterns. These updates are crucial as they directly impact early detection and treatment outcomes. Physician assistants (PAs) have emerged as key players in fighting CRC by developing and implementing comprehensive management practices. These practices emphasize patient education and adherence to screening guidelines, which are essential for improved detection rates. PAs serve as vital intermediaries, providing initial screenings and assessments while facilitating appropriate referrals for specialized treatment based on individual patient needs and conditions. This article conducts a thorough review of current, evidence-based CRC guidelines to demonstrate the pressing need for primary care PAs to integrate these updated protocols into their daily practice, ultimately enhancing patient care and outcomes.

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Updated Guidelines for Screening and Prevention of Colorectal Cancer

Colorectal cancer (CRC) is one of the most common forms of cancer, typically manifesting in the later stages of life. Through ongoing technological advances and research, the medical field continues to make breakthroughs in CRC treatment.1 CRC rates are declining in people over age 65, while cases have increased by 2% in those aged 50-64 since 2011.2 Healthcare providers need to update their CRC screening guidelines to reflect changing patient demographics, environmental factors, and evolving lifestyle patterns. These updates are crucial as they directly impact early detection and treatment outcomes. Physician assistants (PAs) have emerged as key players in fighting CRC by developing and implementing comprehensive management practices. These practices emphasize patient education and adherence to screening guidelines, which are essential for improved detection rates. PAs serve as vital intermediaries, providing initial screenings and assessments while facilitating appropriate referrals for specialized treatment based on individual patient needs and conditions. This article conducts a thorough review of current, evidence-based CRC guidelines to demonstrate the pressing need for primary care PAs to integrate these updated protocols into their daily practice, ultimately enhancing patient care and outcomes.