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Colorectal cancer screening should begin at age 45 in African Americans.*
Colorectal cancer screening is recommended to begin at age 50 in Caucasians. However, incidence, mortality and morbidity rates of colorectal cancer are higher in African Americans. A higher proportion of African Americans also present with colorectal cancer under age 50 compared with Whites and have a lower 5 year survival rate compared with Whites.
*Williams R, White P, Nieto J et al. Colorectal cancer in African Americans: an update. Clin Transl Gastroenterol 2016;7:e185.