Table 1

The topics addressed in each of the principles established by the consensus process

Principle numberTopic
1Desired outcome of CRC screening.
2Screening is a multistep process.
3A screening test identifies individuals with an increased likelihood of CRC and/or advanced precursor lesions.
4Nature of precursor lesions most important to detect.
5New biomarkers might detect lesions with a different natural history.
6Outcomes to be estimated in a screening population.
7Expectations of a new non-invasive test.
8An adjustable test positivity threshold accommodates different programme goals.
9Predicting value by paired comparison with a proven non-invasive screening test.
10Evaluation proceeds through increasingly complex phases.
11Accuracy required for evaluation in a screening population.
12Analytical specifications, standards and performance.