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Fecal Immunochemical Testing for Colorectal Cancer Prevention in Two Public Hospitals

  • 0Department of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Journal of Gastrointestinal Cancer +

|

February 22, 2025

|

February 22, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Low adherence to colorectal cancer (CRC) screening via fecal immunochemical test (FIT) leads to missed diagnoses. Enhancing patient engagement is crucial for improving CRC screening rates in public hospitals.

Area Of Science

  • Gastroenterology
  • Oncology
  • Public Health

Background

  • Fecal immunochemical test (FIT) effectively reduces colorectal cancer (CRC) mortality.
  • Patient adherence to CRC screening remains a significant challenge.
  • Quality improvement (QI) initiatives are essential for assessing screening adherence and outcomes.

Purpose Of The Study

  • To assess screening adherence and findings in a quality improvement initiative for colorectal cancer (CRC) screening using the fecal immunochemical test (FIT).
  • To identify factors influencing colonoscopy completion rates after a positive FIT result.

Main Methods

  • Retrospective examination of FIT specimens over a 30-month period.
  • Analysis of electronic medical records for QI measures, including colonoscopy completion and findings for FIT-positive patients.
  • Categorization of patients into asymptomatic and symptomatic groups to compare adherence and outcomes.

Main Results

  • 174 out of 2400 specimens had positive FIT results; 47.6% completed colonoscopy.
  • Colonoscopy revealed CRC in 10%, adenomas in 51.3%, and advanced adenomas in 17.5%.
  • Low adherence (47.6%) was primarily due to patient refusal, particularly in older individuals, leading to missed CRC diagnoses.

Conclusions

  • High prevalence of colorectal adenomas and cancers in FIT-positive patients underscores the importance of screening.
  • Low adherence rates, especially among older patients, result in missed opportunities for early CRC detection and prevention.
  • Enhanced patient engagement strategies are necessary to improve CRC screening adherence in public hospital settings.

Keywords:

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