A comparative study of faecal occult blood kits in a colorectal cancer screening program in a cohort of healthy construction workers

  • M. Shuhaibar
  • , C. Walsh
  • , F. Lindsay
  • , N. Lee
  • , P. Walsh
  • , P. O'Gorman
  • , G. Boran
  • , R. McLoughlin
  • , A. Qasim
  • , N. Breslin
  • , B. Ryan
  • , H. O'Connor
  • , C. O'Morain

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The incidence of colorectal cancer (CRC) has been increasing. We evaluated uptake rates and outcomes of faecal immunochemical test (FIT) and Guaiac test (gFOBT) kits as part of a two-step CRC screening. Methods: A 3-year CRC screening program for a defined population of construction workers was conducted. Those satisfying the inclusion criteria were provided with gFOBT or FIT kits. Individuals testing positive were invited for a colonoscopy. Results: A total of 909 faecal testing kits were distributed. Age range was 53-60 years. Compliance rate was higher for FIT (58.3%) as compared to gFOBT (46.7%) (p = 0.0006). FIT detected adenomatous polypsand CRCin37.5 and 25%, respectively, whereas; gFOBT detected 23.5 and 18%. Colonoscopies were normal in 53 and 25% tested positive by gFOBT and FIT, respectively (p = 0.016). Conclusion: The FIT was more cost-effective when compared with gFOBT with higher return rate, sensitivity and specificity. A comparative study of faecal occult blood kits in a CRC screening program in a healthy cohort of construction workers.

Original languageEnglish
Pages (from-to)103-108
Number of pages6
JournalIrish Journal of Medical Science
Volume180
Issue number1
DOIs
Publication statusPublished - Mar 2011
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Adenomas
  • Colorectal cancer (CRC)
  • FIT (faecal immunochemical testing)
  • GFOBT (gauaic faecal occult blood test)
  • Outcomes
  • Screening
  • Uptake rates

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