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Screening guidelines

To view the Guidelines for breast, cervical and colorectal cancer screening: for primary care providers booklet created by the Waterloo Wellington Regional Cancer Program (June 2011), click here for the Cancer Screening Guidelines booklet.


Please note that this publication is currently being updated and will be posted here soon.

Colorectal cancer screening:

Evidence-based quality standards

Cancer Care Ontario’s Program in Evidence-Based Care (PEBC) has developed new Fecal Occult Blood Test (FOBT) Laboratory Standards and Colonoscopy Standards and Guidelines to support consistent, high-quality care for Ontarians. The first of their kind in Canada, the standards help ensure consistent high-quality delivery of ColonCancerCheck across the province.


These standards were developed with input from practice leaders and relevant clinical experts. The FOBT standards were published in Clinical Biochemistry in November 2008, and the colonoscopy standards were published in the Canadian Journal of Gastroenterology in November, 2007.

Surveillance guidelines

To complement the colonoscopy standards, ColonCancerCheck adopted colonoscopy surveillance guidelines outlined in “Guidelines for Colonoscopy Surveillance After Polypectomy: A Consensus Update by the U.S. Multi-Society Task Force on Colorectal Cancer and the American Cancer Society" that were published in Gastroenterology in 2006.

Wait time guidelines

The Canadian Association of Gastroenterology (CAG) published a Canadian consensus on medically acceptable wait times, and set benchmarks that recommend a colonoscopy be completed within two months for those with a positive FOBT and six months for a family history screening colonoscopy. These benchmarks, “Canadian consensus on medically acceptable wait times for digestive health care," were published in the Canadian Journal of Gastroenterology in 2006. ColonCancerCheck's program benchmarks (adapted from CAG Benchmarks) are eight weeks for those with a positive FOBT and 26 weeks for those with a family history of colorectal cancer.

Cervical cancer screening:

Ontario Cervical Screening Cytology Guidelines

Cervical Screening Evidence-Based Series

    Cervical Screening
    15-9 EBS: October 2011
    Status: CURRENT

    • Summary

    • Full Report

  • Self-collected Samples for Testing of Oncogenic Human Papillomavirus:
    Special Report EBS: April 2006
    Status: ARCHIVED

  • The Optimum Organization for the Delivery of Colposcopy Service in Ontario

  • EBS: February 2008

  • Status: IN REVIEW

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