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. 2021 Apr 23;118(16):281–287. doi: 10.3238/arztebl.m2021.0111

Table 1. Colorectal cancer screening options in Germany before and during the study period.

Period Age Test Interval
1977 to September 2002 ≥ 45 gFOBT Annually
October 2002 to March 2017 *1 50–54 gFOBT Annually
≥ 55 Colonoscopy Up to two colonoscopies ≥ 10 years apart*2
Alternatively: gFOBT Biennially

gFOBT, Guaiac-based fecal occult blood test

*1 Changes since March 2017:

- In April 2017 gFOBT was replaced by the immunological fecal immunochemical test (iFOBT).

- Since April 2019 colonoscopy is offered from age 50 years for men (unchanged for women).

- Since July 2019 personal invitation letters are sent to persons aged 50, 55, 60, and 65 years.

*2 Second screening colonoscopy offered only if first screening colonoscopy was done before age 65.