Colorectal cancer screening
Screening
- MSSS Ministère de la Santé et des Services sociaux
- CTFPHC Canadian Task Force on Preventive Health Care
| Decision | Guideline |
|---|---|
| Who | 50–74 asymptomatic RAMQ
Test
Program
PQDCCR opens in a new tabQuebec.ca CRC opens in a new tabDecision aid opens in a new tab gFOBT/FIT every 2 years or flexible sigmoidoscopy every 10 years
Ontario ColonCancerCheck average-risk FIT from 45 (1 Jul 2026). |
Investigate
FIT-positive- MSSS Ministère de la Santé et des Services sociaux
- CTFPHC Canadian Task Force on Preventive Health Care
| Decision | Guideline |
|---|---|
| FIT-positive | Diagnostic colonoscopy If colonoscopy negative, return to FIT in 10 years
then every 2 years until 74. Clic Santé opens in a new tabPQDCCR opens in a new tabCTFPHC 2016 opens in a new tab |
MSSS family-risk strata (2023)
From 40Open MSSS figure 3. Do not reprint the algorithm.
- INESSS Institut national d'excellence en santé et services sociaux
- CTFPHC Canadian Task Force on Preventive Health Care
| Decision | Guideline |
|---|---|
| Slightly increased | FIT from 40One first-degree relative diagnosed ≥60, or one second- or third-degree any age, or two second-degree relatives opposite sides.
|
| Moderately increased | Screening colonoscopy every 5 yearsOne first-degree relative <60, or two first-degree relatives any age, or first-degree + second-degree same side.
INESSS, May 2026 opens in a new tabMSSS 2023 Against screening colonoscopy CTFPHC 2016 |
Reviewed 24 August 2026 against the official sources below.
Sources
Blue square: Québec · red round: Canada. The code names the body; each section's key gives its full name.