Evidence map›Paper›PMID 24958730›Full record

ArticleJournal of medical screening2014

Test characteristics of faecal immunochemical tests (FIT) compared with optical colonoscopy.

Barcey T Levy, Camden Bay, Yinghui Xu, Jeanette M Daly, George Bergus, Jeffrey Dunkelberg, Carol Moss

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of medical screening, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03264898 (Comparative Effectiveness of Fecal Immunochemical Tests With Optical Colonoscopy), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

NCT03264898 completednot on this mapstarted 2017, after this paper: background citation

Comparative Effectiveness of Fecal Immunochemical Tests With Optical Colonoscopy (R01 CA215034)

TypeobservationalSponsorBarcey T. LevyRan2017 to 2023Enrolled3,761ConditionsColorectal CancerArmsFecal immunochemical test (FIT)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Article
  6. Is Cognitive Impairment Associated with Inadequate Bowel Preparation for Colonoscopy?Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Yield of Colonoscopy After a Positive Result From a Fecal Immunochemical Test OC-Light.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2018
    Article
  15. Which Fecal Immunochemical Test Should I Choose?Journal of primary care & community health · 2017
    Review
  16. Review
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Barcey T LevyDepartment of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242 Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242 barcey-levy@uiowa.edu.
Camden BayDepartment of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242 Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242.
Yinghui XuDepartment of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242.
Jeanette M DalyDepartment of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242.
George BergusDepartment of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242.
Jeffrey DunkelbergDepartment of Internal Medicine, Division of Gastroenterology, Carver College of Medicine, Iowa City, IA 52242.
Carol MossDepartment of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242.
University of Iowa · USCarver Bible College · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
Comparative effectiveness of FIT vs. colonoscopy for colon cancer screeningRC1CA144907 · NCI · UNIVERSITY OF IOWA · PI LEVY, BARCEY THURSTON · 2009 to 2010
$782k
NCI NIH HHS 1 RC1 CA144907-01NCI NIH HHS P30 CA086862NCI NIH HHS RC1 CA144907
6 · The paper itself

Abstract

backgroundFaecal occult blood tests are often the initial test in population-based screening. We aimed to: 1) compare the results of single sample faecal immunochemical tests (FITs) with colonoscopy, and 2) calculate the sensitivity for proximal vs. distal adenomatous polyps or cancer.

methodsIndividuals scheduled for a colonoscopy were invited to complete a FIT prior to their colonoscopy preparation. FIT results were classified as positive, negative, or invalid. Colonoscopy reports were reviewed and abstracted. Because of product issues, four different FIT manufacturers were used. The test characteristics for each FIT manufacturer were calculated for advanced adenomatous polyps or cancer according to broad reason for colonoscopy (screening or surveillance/diagnostic).

resultsOf those invited, 1,026 individuals (43.9%) completed their colonoscopy and had a valid FIT result. The overall sensitivity of the FITs (95% confidence intervals) was 0.18 (0.10 to 0.28) and specificity was 0.90 (0.87 to 0.91) for advanced adenomas or cancer. The sensitivity for distal lesions was 0.23 (0.11 to 0.38) and for proximal lesions was 0.09 (0.02 to 0.25). The odds ratio of an individual with a distal advanced adenoma or cancer testing positive was 2.68 (1.20 to 5.99). The two individuals with colorectal cancer tested negative, as did one individual with high-grade dysplasia.

conclusionsThe sensitivity of a single-sample FIT for advanced adenomas or cancer was low. Individuals with distal adenomas had a higher odds of testing positive than those with proximal lesions or no lesions.

Indexed as

ColonoscopyOccult BloodAdenomatous PolypsColonic PolypsColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMiddle AgedSensitivity and Specificitycolonoscopycolorectal cancercolorectal cancer screeningfecal immunochemical testsensitivityspecificitytest characteristics

Identifiers

PMID24958730
PMCPMC4143449
OpenAlexW2121733972

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.