- Title
- Comparison of colonic neoplasia detection rates in patients screened inside and outside the national bowel cancer screening program
- Creator
- Whitcher, Simon; Magnusson, Monique; Gani, Jon; Oldmeadow, Christopher; Pockney, Peter G.
- Relation
- Medical Journal of Australia Vol. 212, Issue 6, p. 275-276
- Publisher Link
- http://dx.doi.org/10.5694/mja2.50508
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2020
- Description
- Colorectal cancer is an important cause of morbidity and mortality in Australia.1 The National Bowel Cancer Screening Program (NBCSP) aims to detect the disease early by offering faecal occult blood testing (faecal immunochemical test, FIT) to people aged 50–74 years.2 The expansion of the NBCSP has been paralleled by increased numbers of FITs outside the program (community-initiated FITs) for a number of reasons, including the presence of symptoms. We investigated whether colonoscopy services should provide endoscopies to patients with positive FIT results with the same priority, regardless of whether the test was instigated by the NBCSP, by analysing data from the Newcastle Direct Access Colonoscopy Service (DACS) for the period 2014–18. The DACS manages all patients in the same manner: a positive FIT result leads to assessment for colonoscopy.3, 4 Ethics approval was granted by the Hunter New England Human Research Ethics Committee (reference, AU201608-01). All data were recorded prospectively. Findings were categorised according to surveillance categories endorsed by the Gastroenterological Society of Australia and the Colorectal Surgical Society of Australia and New Zealand.5 Data accuracy was confirmed by reviewing the primary sources for 10% of patients.
- Subject
- colorectal cancer; National Bowel Cancer Screening Program (NBCSP); colonoscopy services; screening; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1430490
- Identifier
- uon:38855
- Identifier
- ISSN:0025-729X
- Language
- eng
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