Colon cancer screening based on your life expectancy

Improving colorectal cancer screening decisions through consideration of life expectancy

NIH-funded research Cleveland Clinic Lerner Com-Cwru · NIH-11252600

This project tries a new way to help doctors and patients decide whether adults over 75 should get colon cancer screening by using estimated life expectancy.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionCleveland Clinic Lerner Com-Cwru NIH-funded
Lab location1 site (Cleveland, United States)
Project IDNIH-11252600 on NIH RePORTER

What this research studies

If you're an older adult, researchers will help clinicians use life-expectancy estimates alongside your health and preferences to guide colorectal cancer screening decisions. The project will compare usual care to approaches that give doctors and patients clearer information about expected benefits and harms over the next 10–15 years. Methods likely include working with primary care clinics (cluster randomization), training clinicians, and tracking screening choices and outcomes. The team will look at who gets screened, complications from procedures, and whether decisions match patients' health goals.

Who could benefit from this research

Good fit: Ideal candidates are average-risk adults aged about 76–85 and their clinicians who are weighing whether to continue colorectal cancer screening.

Not a fit: People younger than routine screening age, those at high genetic or medical risk for colorectal cancer, or those with a life expectancy under about 10 years are unlikely to benefit from this approach.

Why it matters

Potential benefit: If successful, this could reduce unnecessary colonoscopies for people unlikely to benefit while ensuring healthier older adults who may benefit are offered screening.

How similar studies have performed: Some decision aids and prognostic tools exist for other screening decisions, but using life-expectancy estimates to guide colorectal cancer screening in older adults has limited trial evidence and is still emerging.

Where this research is happening

Cleveland, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
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Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.