Current status of colorectal cancer screening in Mexico: a literature review




Diego I. Álvarez-López, Program for Master’s in Public Health, Instituto Nacional de Salud Pública, Cuernavaca, Mor., Mexico
Angélica Hernández-Guerrero, Endoscopy Department, Instituto Nacional del Cáncer, Mexico City, Mexico
Francisco Freyria-Sutcliffe, General Direction, Fundación Fomento de Desarrollo Teresa de Jesús, I.A.P (FUTEJE), Mexico City, Mexico
Juan M. Hernández-Aguilar, Social Programs Department, Fundación Fomento de Desarrollo Teresa de Jesús, I.A.P (FUTEJE), Mexico City, Mexico
Nancy Reynoso-Noverón, Research Department, Instituto Nacional del Cáncer, Mexico City; Medicine School, UNAM, Mexico City. Mexico


Colorectal cancer (CRC) is a public health problem worldwide. The disease burden of CRC in Mexico is one of the highest among countries in Latin America and the Caribbean. The highest mortality rates are observed in the north of Mexico, where most of the population lives in urban areas. The Mexican health system is fragmented, which has made it difficult to implement a national CRC screening program despite the strong evidence supporting the efficacy of early detection tests. Prevention programs have focused on screening for cervical, breast, and childhood cancer. Some low-and middle-income countries have conducted programs with high participation and follow-up that could be replicated in our country. It is necessary to place CRC on the political agenda to reduce its disease burden.



Keywords: Early detection. Colorectal cancer. Mexico. Literature review.