A Comprehensive Colorectal Cancer Screening Program
Addressing the Rising Burden of Colorectal Cancer in India
BILKULONLINE
Ahmedabad, March 26: In response to the growing number of colorectal cancer (CRC) cases in India, Apollo Cancer Centres (ACC) has launched ColFit, a comprehensive screening program aimed at early detection and prevention.
The initiative seeks to improve survival rates, lower treatment costs, and mitigate the impact of late-stage diagnoses, which currently contribute to poor health outcomes and increased healthcare expenses. While CRC is highly preventable and treatable with timely detection, many cases in India are diagnosed at advanced stages, leading to lower survival rates and costly treatments.
The Urgent Need for Early Screening
Dr. Apurva Shah, Consultant Gastroenterologist, Hepatologist, and GI Endoscopist, Apollo Hospital Ahmedabad: “Colorectal cancer is affecting both younger and older populations in India. However, survival rates remain critically low due to late-stage diagnoses.
ColFit is designed to expand CRC screening among both older and younger populations, reinforcing the importance of early detection. Although India’s age-standardized rate (ASR) for CRC remains relatively low at 7.2 per 100,000 males and 5.1 per 100,000 females, the absolute number of cases is significant due to the country’s vast population. Of concern is India’s five-year survival rate for CRC, which is below 40%—one of the lowest globally. Studies such as CONCORD-2 have further highlighted a decline in five-year survival rates for rectal cancer in specific Indian registries.
Recognizing Symptoms and Risk Factors
Colorectal cancer can often be detected early by recognizing key symptoms, including:
- Persistent changes in bowel habits (chronic diarrhea or constipation)
- Rectal bleeding or blood in the stool
- Unexplained weight loss
- Ongoing abdominal discomfort or cramps
Common risk factors include a low-fiber diet, a sedentary lifestyle, obesity, genetic predisposition, and a family history of CRC. Raising awareness about these symptoms and risk factors is essential for improving early detection rates.
ColFit: A Pioneering Approach to CRC Screening
Apollo Cancer Centres’ ColFit program introduces a streamlined, patient-friendly approach to CRC detection by integrating the Faecal Immunochemical Test (FIT). This non-invasive, highly accurate test identifies hidden blood in stool—a potential early warning sign of CRC. Unlike other tests, FIT requires only a single sample, offers higher sensitivity, and does not impose dietary restrictions, making it an accessible and efficient screening option.
- Structured Screening Pathway of ColFit
- Registration and Risk Stratification
- Average-risk individuals (aged 45+ without a family history): Undergo FIT and stool tests.
- High-risk individuals (family history, genetic syndromes, inflammatory bowel disease): Recommended FIT and colonoscopy.
Analysis and Diagnosis
- Abnormal FIT results prompt further stool sample analysis for occult blood or DNA mutations.
- Colonoscopy findings are reviewed for polyps or tumors.
- Follow-Up and Counselling
- Negative cases are advised on periodic follow-ups (1-10 years).
- Positive cases undergo further evaluations, including biopsies if necessary.
- Post-screening consultations focus on lifestyle modifications, personalized screening plans, and genetic counseling for high-risk patients.
- This structured approach enhances early detection, enables timely interventions, and significantly reduces CRC progression risks.
Expert Insights on the Importance of Screening
Cdr Jelson Kavalakkat, Unit CEO, Apollo Hospitals Ahmedabad: “As leaders in advanced cancer care, our mission extends beyond treatment—we strive to educate and raise awareness about colorectal cancer’s preventable nature. By combining cutting-edge treatments with a multidisciplinary approach, we enhance survival rates and improve quality of life. Through ColFit, we aim to empower individuals to prioritize their health by ensuring seamless screening-to-treatment pathways and reducing the CRC burden in India.”
Dr. Harsh Shah, Consultant GI and HPB Cancer Surgeon, Apollo Cancer Centres: “We must shift from reactive treatment to proactive screening for colorectal cancer. Lifestyle factors such as poor diet, sedentary habits, and obesity are major contributors to rising CRC cases. A high-fiber diet, regular exercise, and timely screenings can help prevent the disease. Through ColFit, we are making early detection more accessible with FIT—a simple, non-invasive test that can significantly improve outcomes.”
Dr Shravan Bohra, The Chief Consultant in Liver, Gastroenterology, and Endoscopy emphasizes, “Unfortunately, many people wait for symptoms to appear, by which time the condition is often critical. To safeguard your health, it is essential to maintain a high-fiber diet, lead an active lifestyle, opt for fresh, non-processed foods, and limit red meat consumption. Apollo’s ‘ColFit’ initiative is not just beneficial in this regard—it is a necessity for both adults and young individuals to undergo timely screening at Apollo.”
Dr. Apurva Shah, Consultant Gastroenterologist, Hepatologist, and GI Endoscopist, Apollo Hospital Ahmedabad: “Colorectal cancer is affecting both younger and older populations in India. However, survival rates remain critically low due to late-stage diagnoses. Countries with established screening programs have achieved better outcomes, while nearly 50% of CRC cases in India are detected at advanced stages, with 20% presenting with metastases. Early screening and awareness are key to reversing this trend. At Apollo Cancer Centres, we are committed to advancing early detection through ColFit, precision treatments, and holistic care to improve patient outcomes and reduce the burden of CRC in India.”
Prioritizing Regular Screenings for Prevention
Colorectal cancer is one of the most preventable and treatable cancers when detected early. Apollo Cancer Centres strongly encourage individuals—especially those with a family history of CRC or persistent symptoms—to undergo regular screenings. Proactive measures such as routine FIT tests, timely colonoscopies, and adopting healthier lifestyles can significantly reduce colorectal cancer cases and save countless lives.
Winning Over Cancer
Apollo Cancer Centre has been at the forefront of cancer care for over 30 years, offering 360-degree comprehensive care through its network of hospitals across India. With over 390 oncologists specializing in precision oncology, Apollo Cancer Centre delivers world-class cancer care with an organ-based approach, ensuring superior clinical outcomes.
Today, patients from 147 countries seek treatment at Apollo Cancer Centres. The institution also houses South Asia and the Middle East’s first Pencil Beam Proton Therapy Centre, reinforcing its commitment to strengthening the battle against cancer.
For consultations and appointments, domestic and international patients can contact Apollo Cancer Centres’ dedicated helpline: 040-4896-4515 (available 24×7).
Sandip Joshi hosted the meeting on March 26th, where an expert from Apollo Hospitals, Ahmedabad, engaged with the media and provided insights into the ‘ColFit’ campaign.
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