Publication Details

Flitcroft, K. L., Irwig, L. M., Carter, S. M., Salkeld, G. P. & Gillespie, J. A. (2012). Colorectal cancer screening: Why immunochemical fecal occult blood tests may be the best option. BMC Gastroenterology, 12 (1), 183-1-183-6.


Background: There are many test options available for colorectal cancer screening. The choice of test relates to the objectives of those offering or considering screening.Discussion: While all screening programs aim to detect disease early in order to improve the length and/or quality of life for the individual, some organizations and individuals prefer screening tests that offer the opportunity for cancer prevention. Others favor maximizing participation or the opportunity for shared decision-making, including discussion of information on test quality and availability. We propose three additional objectives for screening: minimizing harms, optimizing economic efficiency and maximizing equity of access to screening.Summary: Applying these objectives to colorectal cancer screening, we advocate the use of immunochemical FOBTs as the preferred screening strategy, as it satisfies all three of these important objectives.



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