Routine follow-up blood tests for colorectal cancer survivors should include

A) carcinoembryonic antigen (CEA) levels only
B) liver function tests only
C) CBCs and CEA levels only
D) CBCs and liver function tests only
E) CBCs, CEA levels, and liver function tests

ANSWER: A

The Choosing Wisely campaign recommends checking only carcinoembryonic antigen (CEA) levels following curative treatment for colorectal cancer (SOR C). No routine laboratory studies such as a CBC or liver function tests should be ordered for follow-up.

Ref: El-Shami K, Oeffinger KC, Erb NL, et al: American Cancer Society colorectal cancer survivorship care guidelines. CA Cancer J Clin 2015;65(6):428-455. 2) Burgers K, Moore C, Bednash L: Care of the colorectal cancer survivor. Am Fam Physician 2018;97(5):331-336.

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