ArticleCanadian journal of gastroenterology & hepatology2014
Use of fecal occult blood testing in hospitalized patients: results of an audit.
Article in Canadian journal of gastroenterology & hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Diagnostic Indications and Endoscopic Correlates of Fecal Occult Blood Testing in Hospitalized Patients.Diagnostics (Basel, Switzerland) · 2026Article
- Faecal occult blood testing: a review of its use and common misutilisation.BMJ open gastroenterology · 2025Review
- Article
- Utility of Stool-Based Tests for Colorectal Cancer Detection: A Comprehensive Review.Healthcare (Basel, Switzerland) · 2024Review
- The Case of the Lime-green Stool: A Case Report and Review of Occult Blood Testing in the Emergency Department.Clinical practice and cases in emergency medicine · 2021Article
- Article
- A reliable method for colorectal cancer prediction based on feature selection and support vector machine.Medical & biological engineering & computing · 2019Article
- Filtered selection coupled with support vector machines generate a functionally relevant prediction model for colorectal cancer.OncoTargets and therapy · 2016Article
- Utilization of fecal occult blood test in the acute hospital setting and its impact on clinical management and outcomes.Journal of postgraduate medicineArticle
- Bowel preparation quality between hospitalized patients and outpatient colonoscopies.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe fecal occult blood test (FOBT), widely used as a colorectal cancer screening tool, continues to be used in hospitalized patients. However, the utility of this test for hospitalized patients is unclear.
objectiveTo assess FOBT use in a large urban regional health authority.
methodsReports of all FOBTs performed between April 1, 2011 and March 30, 2012 from two academic and four community hospitals in Winnipeg (Manitoba) were extracted. Of 650 hospitalizations with a positive FOBT result and 1254 with a negative FOBT result, random samples of 230 and 97 charts, respectively, were reviewed. Information including demographics, admission diagnos(es), indication(s) for ordering the FOBT and clinical management was extracted.
resultsThirty-four percent (650 of 1904) of hospitalizations with an FOBT had a positive FOBT result. Family medicine physicians ordered approximately one-half of the reviewed FOBTs. The most common indication for ordering an FOBT was anemia. Of those with a positive FOBT, 66% did not undergo further gastrointestinal investigations. Of those with a positive FOBT and overt gastrointestinal bleeding and⁄or melena who underwent endoscopy, 60% had their endoscopy performed before the FOBT result being reported while 38% underwent their endoscopy ≥3 days after the stool sample was collected. There were minimal differences in clinical practices between academic and community hospitals.
conclusionsThe present study suggests that FOBT results in hospitalized patients may have little beneficial impact on clinical management. Hospital laboratories may be better served in directing resources to other tests.
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