ArticleJournal of general internal medicine2009
Challenges in the management of positive fecal occult blood tests.
Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed.
- Prospective Cohort study of Predictors of Follow-Up Diagnostic Colonoscopy from a Pragmatic Trial of FIT Screening.Scientific reports · 2020Trial
- Trial
- Design of a randomized controlled trial to assess the comparative effectiveness of a multifaceted intervention to improve adherence to colorectal cancer screening among patients cared for in a community health center.BMC health services research · 2013Trial
- A cluster randomized trial evaluating the efficacy of patient navigation in improving quality of diagnostic care for patients with breast or colorectal cancer abnormalities.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Trial
- Improving the follow-up of positive hemoccult screening tests: an electronic intervention.Journal of general internal medicine · 2011Trial
- Article
- Screening for Colorectal Cancer.Hematology/oncology clinics of North America · 2022Review
- Implementing a multilevel intervention to accelerate colorectal cancer screening and follow-up in federally qualified health centers using a stepped wedge design: a study protocol.Implementation science : IS · 2020Article
- Making FIT Count: Maximizing Appropriate Use of the Fecal Immunochemical Test for Colorectal Cancer Screening Programs.Journal of general internal medicine · 2020Article
- Time to Follow-up After Colorectal Cancer Screening by Health Insurance Type.American journal of preventive medicine · 2019Article
- Five common errors to avoid in clinical practice: the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) Choosing Wisely Campaign.Internal and emergency medicine · 2019Article
- Latinas' Colorectal Cancer Screening Knowledge, Barriers to Receipt, and Feasibility of Home-Based Fecal Immunochemical Testing.Journal of immigrant and minority health · 2018Article
- Article
- Optimizing the Quality of the Colorectal Cancer Screening Continuum: A Call to Action.Journal of the National Cancer Institute · 2017Article
- Article
- Time to Colonoscopy after Positive Fecal Blood Test in Four U.S. Health Care Systems.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016Article
- Organizational predictors of colonoscopy follow-up for positive fecal occult blood test results: an observational study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015Observational
- Colorectal cancer screening: factors associated with colonoscopy after a positive faecal occult blood test.British journal of cancer · 2013Article
- Improving hepatocellular carcinoma screening: applying lessons from colorectal cancer screening.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2013Article
- Bringing an organizational perspective to the optimal number of colorectal cancer screening options debate.Journal of general internal medicine · 2012Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany patients with a positive fecal occult blood test (FOBT) do not undergo follow-up evaluations.
objectiveTo identify the rate of follow-up colonoscopy following a positive FOBT and determine underlying reasons for lack of follow-up.
designIt is a retrospective chart review.
participantsThe subject group consisted of 1,041 adults with positive FOBTs within a large physician group practice from 2004 to 2006. MEASUREMENTS: We collected data on reasons for ordering FOBT, presence of prior colonoscopy, completed evaluations, and results of follow-up tests. We fit a multivariable logistic regression model to identify predictors of undergoing follow-up colonoscopy.
resultsMost positive FOBTs were ordered for routine colorectal cancer screening (76%), or evaluation of anemia (13%) or rectal bleeding (7%). Colonoscopy was completed in 62% of cases, with one-third of these procedures identifying a colorectal adenoma (29%) or cancer (4%). Factors associated with higher rates of follow-up colonoscopy included obtaining the FOBT for routine colorectal screening (odds ratio (OR) 1.59, 95% confidence interval (CI) 1.11-2.29) and consultation with gastroenterology (OR 1.99, 95% CI 1.46-2.72). Patients were less likely to undergo colonoscopy if they were older than 80 years old (OR 0.54, 95% CI 0.31-0.92), younger than 50 years old (OR 0.44, 95% CI 0.28-0.70), uninsured (OR 0.50, 95% CI 0.27-0.93), or had undergone colonoscopy within the prior five years (OR 0.32, 95% CI 0.23-0.44).
conclusionsClinical decisions and patient factors available at the time of ordering an FOBT impact performance of colonoscopy. Targeting physicians' understanding of the use of this test may improve follow-up and reduce inappropriate use of this test.
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