Experts Urge Colorectal Cancer Screening Through Home Tests

Colonoscopies remain the gold standard, but at-home stool tests can save more lives.

Mar. 14, 2026 at 10:05pm

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While colonoscopies are the most effective way to detect and prevent colorectal cancer, many Virginians struggle to complete them due to the time commitment, cost, and other barriers. Experts say that at-home stool screening tests, while not as comprehensive, can still save lives by catching early signs of cancer and precancerous growths. These tests are especially helpful for reaching rural residents who live far from healthcare services.

Why it matters

Colorectal cancer is the second deadliest cancer among adults under 50, yet experts estimate that over two-thirds of deaths could be prevented with routine screening. However, colonoscopies face significant barriers that prevent many Virginians from completing them. Promoting at-home stool tests as an alternative screening option could help increase overall colorectal cancer detection and save more lives, especially in underserved rural communities.

The details

Colonoscopies are considered the gold standard for colorectal cancer detection and prevention, as they allow doctors to visually inspect the colon and remove any precancerous polyps. However, the procedure requires significant time off work, transportation assistance, and an unpleasant preparation process that deters many people from scheduling one. At-home stool tests, while not as comprehensive, can detect early signs of cancer or precancerous growths through blood and DNA analysis. These tests are mailed directly to patients' homes, making them a more convenient option, especially for rural Virginians who live far from healthcare facilities.

  • March is National Colorectal Cancer Awareness Month.
  • The American Cancer Society recommends an initial colonoscopy at age 45.

The players

Sherrie Page Guyer

A nursing instructor at the University of Virginia with over 35 years of healthcare experience as a registered nurse.

Andrew Volenberg, MD

A Richmond-based colorectal surgeon who emphasizes the importance of colonoscopies in preventing colon cancer.

Rose Livengood, FNP

A primary care nurse practitioner in Winchester who orders at-home stool tests for patients hesitant to undergo a colonoscopy.

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What they’re saying

“Colonoscopies demand a lot from patients. I sympathize and understand. Still, it's the only way for a doctor to visually assess the large intestine. I can remove precancerous polyps on the spot, preventing colon cancer long before it becomes deadly. A couple uncomfortable days off work could mean many more years of life.”

— Andrew Volenberg, MD, Colorectal Surgeon

“A colonoscopy is ideal. But if patients are hesitant, I'll suggest this box method to get a baseline.”

— Rose Livengood, FNP, Primary Care Nurse Practitioner

What’s next

Once ordered by a provider, the at-home stool test kit is mailed to the patient's doorstep for collection in the privacy of their home.

The takeaway

While colonoscopies remain the gold standard for colorectal cancer screening, promoting more accessible at-home stool tests as an alternative option could help increase overall screening rates and save more lives, especially in underserved rural communities across Virginia.