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Michigan Colorectal Cancer Control Program (MI CRCCP)
Cancer is a disease in which cells grow out of control. When cancer starts in the colon or rectum, it is called colorectal cancer. Sometimes, it is called colon cancer for short. The colon is the large intestine or large bowel. The rectum is the tube that connects the colon to the anus (the end of the large intestine, where food waste exits from the body).
Together, Michigan Colorectal Cancer Control Program (MI CRCCP) staff and their partners work to increase and improve the quality of colorectal cancer screening and follow-up testing in health systems and primary care clinics serving populations who are medically underserved.
This page provides information about colorectal cancer risk factors, screening recommendations, MI CRCCP strategies and accomplishments, and links to a variety of resources that can be used to promote colorectal cancer prevention, screening, and follow-up testing.
If you are not able to find what you are looking for or have additional questions about MI CRCCP and its work, please email us at cancer@michigan.gov.
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Colorectal Cancer Risk Factors
Your risk of getting colorectal cancer increases as you get older.
Other risk factors include having:
- inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis;
- a personal or family history of colorectal cancer or colorectal polyps; and/or
- a genetic syndrome, such as familial adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (Lynch syndrome).
Lifestyle factors that may contribute to an increased risk of colorectal cancer include:
- a lack of regular physical activity;
- a diet low in fruit and vegetables;
- a low-fiber and high-fat diet, or a diet high in processed meats;
- overweight and obesity;
- alcohol consumption; and/or
- tobacco use.
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Colorectal Cancer Symptoms
If you are 45 years old or older, colorectal cancer screening should occur prior to symptoms beginning. Symptoms of colorectal cancer can include:
- A change in bowel habits.
- Blood in or on your stool (bowel movement).
- Diarrhea, constipation, or feeling that the bowel does not empty all the way.
- Abdominal pain, aches, or cramps that don't go away.
- Weight loss and you don't know why.
If you have any of these symptoms, talk to your doctor. These symptoms may be caused by something other than cancer, but the only way to know is by talking to your doctor.
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Colorectal Cancer Screening Recommendations
The U.S. Preventive Services Task Force (Task Force) recommends that adults age 45 to 75 be screened for colorectal cancer. The decision to be screened between ages 76 and 85 should be made on an individual basis.
If you are older than 75, talk to your doctor about screening.
People at an increased risk of getting colorectal cancer should talk to their doctor about when to begin screening, which test is right for them, and how often to get tested.
Screening tests include:
- Stool Tests
- Guaiac-based fecal occult blood test (gFOBT)
- Fecal immunochemical test (FIT)
- FIT-DNA test
- Colonoscopy
- Flexible Sigmoidoscopy
- CT Colonography (Virtual Colonoscopy)
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Community Engagement Through the Inflatable Colon
If you would like to have the MDHHS Cancer Section Inflatable Colon at an event, view this flyer.
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MDHHS Printed Materials
Michigan Colorectal Cancer Control Program (CRCCP) posters promoting screening and early detection:
- African American Poster - Poster A
- African American Poster - Poster B
- African American Poster - Poster C
- Arab American Poster (in English)
- Arab American Poster (in Arabic)
- Asian American Poster (in English)
- Asian American Poster (in Burmese)
- Latinx Poster - Poster A (in English)
- Latinx Poster - Poster A (in Spanish)
- Latinx Poster - Poster B (in English)
- Latinx Poster - Poster B (in Spanish)
- LGBTQ+ Poster - Poster A
- LGBTQ+ Poster - Poster B
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Michigan Colorectal Cancer Control Program (MI CRCCP)
The purpose of the MI CRCCP is to implement evidence-based interventions (EBIs) to increase and improve the quality of Colorectal Cancer screening and follow-up testing in health systems and primary care clinics serving populations who are medically underserved.
Strategies/activities of the MI CRCCP include:- Establish partnerships with health systems/primary care clinics to support implementation of EBIs at the clinic level;
- Conduct thorough assessments of clinic readiness prior to implementation of EBIs to address gaps, barriers and needed improvements;
- MDHHS, American Cancer Society, and MPHI Health Informaticist provide ongoing technical assistance to clinics;
- Clinics provide quarterly metrics and annual data collection; and
- Data quality and program evaluation by MDHHS.
Program Success Stories are an important way to share information about the work community partners are doing in Michigan. The following Success Stories describe activities community partners have implemented to increase colorectal cancer screening rates among patients in their clinics.
- Muskegon Family Care CRCCP Success Story Video | MDHHS
- Michigan Colorectal Cancer Success Story for the Hamilton Community Health Network, Inc.
- Michigan Colorectal Cancer Success Story for InterCare Community Health Network
- Michigan Colorectal Cancer Success Story for Institute for Population Health, Inc.
- Michigan Colorectal Cancer Success Story for Western Wayne Family Health Centers
Please Note: The free screening portion of the Michigan Colorectal Cancer Early Detection Program (MCRCEDP) ended June 29, 2020. If you would like information about colorectal cancer screening services in Michigan, please talk to your primary care physician or see the Colorectal Cancer Patient Resources Guide located in the Patient Resources section of this page.
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Cancer Facts and Data Dashboards
For more information, visit the Cancer Epidemiology webpage.
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Patient Resources
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Provider Resources
- Webinar: Information on Updated Colorectal Cancer (CRC) Screening Age Guidelines (age 45+) | MDHHS
- "Step Up to the Plate" (colorectal cancer screening radio commercial) | MDHHS
- Colorectal cancer communication resources | CDC
- Resource Center | National Colorectal Cancer Roundtable (NCCRT)
- Colorectal Cancer Screening Guidelines | American Cancer Society
- Colonoscopy prep instructions in multiple languages | MedlinePlus, including:
- Arabic (العربية);
- Chinese, Simplified (Mandarin dialect) (简体中文);
- French (français);
- Japanese (日本語);
- Korean (한국어);
- Russian (Русский);
- Somali (Af-Soomaali ); and
- Spanish (español).
- 2022 Messaging Guidebook for Black & African American People: Messages to Motivate for Colorectal Cancer Screening
- Clinician’s Reference: Stool-Based Tests for Colorectal Cancer Screening | NCCRT
- Mailed FIT Outreach for CRC Screening - patient education videos and patient navigation training videos | Kaiser Permanente
- Conversation cards to help patients select option for CRC screening | ACS