Review decision: February 2016

We checked this guideline and decided that it should be updated. The update of the guideline on colorectal cancer (NICE guideline CG131) will include areas covered by the guideline on improving outcomes in colorectal cancer (NICE guideline CSG5) that have not been superseded by other NICE guidance.

We will then withdraw NICE guideline CSG5 on publication of the update of the colorectal cancer guideline.

Details of the update will be available on the guidelines in development webpage in due course. No further checks of this guideline will be scheduled until this update is published.

For details see the update decision, decision matrix and the process for deciding if an update is needed.

In 1997, the Department of Health published a document called Improving Outcomes in Colorectal Cancer. NICE has now published an updated version for the NHS in England and Wales. Some of the original recommendations have been updated, and further recommendations have been added.

The key recommendations are:

  • People who may have colorectal cancer should be offered rapid referral for endoscopy
  • Endoscopy should be available for diagnosis
  • People should be treated by a multidisciplinary team
  • Colorectal teams treating people with rectal cancer should have special training
  • People who need emergency treatment should be treated by a colorectal cancer team
  • Information and support should be improved