ArticleBMC health services research2015
Comparison of patient preferences for fecal immunochemical test or colonoscopy using the analytic hierarchy process.
Article in BMC health services research, 2015. 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 19 papers, 1 of them a synthesis that pooled 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.
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.
Comparative Effectiveness of Fecal Immunochemical Tests With Optical Colonoscopy (R01 CA215034)
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applying the Analytic Hierarchy Process in healthcare research: A systematic literature review and evaluation of reporting.BMC medical informatics and decision making · 2015Pooled it
- Baseline Features and Reasons for Nonparticipation in the Colonoscopy Versus Fecal Immunochemical Test in Reducing Mortality From Colorectal Cancer (CONFIRM) Study, a Colorectal Cancer Screening Trial.JAMA network open · 2023Trial
- Trial
- Factors Associated with Ever Undergoing Colorectal Cancer Testing Among Adults in the United States.Diseases (Basel, Switzerland) · 2026Article
- Equitable colorectal cancer screening implementation framework via a modified Delphi Consensus for Romanian healthcare.Scientific reports · 2025Article
- Comparative Performance of Common Fecal Immunochemical Tests : A Cross-Sectional Study.Annals of internal medicine · 2024Article
- Advancing Colorectal Cancer Detection With Blood-Based Tests: Qualitative Study and Discrete Choice Experiment to Elicit Population Preferences.JMIR public health and surveillance · 2024Article
- Patient and healthcare professionals' perceptions of a combined blood and faecal immunochemical test for excluding colorectal cancer diagnosis in primary care.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Comparing Patient and Provider Priorities Around Amputation Level Outcomes Using Multiple Criteria Decision Analysis.Annals of vascular surgery · 2023Article
- Bias Issues in Colorectal Cancer Management: A Review.Annals of surgical oncology · 2022Review
- Design of a randomized controlled trial to assess the comparative effectiveness of a multifaceted intervention to improve three-year adherence to colorectal cancer screening among patients cared for in rural community health centers.Contemporary clinical trials · 2022Article
- Comparative effectiveness of five fecal immunochemical tests using colonoscopy as the gold standard: study protocol.Contemporary clinical trials · 2021Article
- Noninvasive Detection of Colorectal Carcinomas Using Serum Protein Biomarkers.The Journal of surgical research · 2020Article
- Eliciting vulnerable patients' preferences regarding colorectal cancer screening: a systematic review.Patient preference and adherence · 2018Review
- Which Fecal Immunochemical Test Should I Choose?Journal of primary care & community health · 2017Review
- Using a hypothetical scenario to assess public preferences for colorectal surveillance following screening-detected, intermediate-risk adenomas: annual home-based stool test vs. triennial colonoscopy.BMC gastroenterology · 2016Article
- Article
- Targets for Neoadjuvant Therapy - The Preferences of Patients with Early Breast Cancer.Geburtshilfe und Frauenheilkunde · 2016Article
- The Development and Pilot Study of a Multiple Criteria Decision Analysis (MCDA) to Compare Patient and Provider Priorities around Amputation-Level Outcomes.MDM policy & practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundIn average-risk individuals aged 50 to 75 years, there is no difference in life-years gained when comparing colonoscopy every 10 years vs. annual fecal immunochemical testing (FIT) for colorectal cancer screening. Little is known about the preferences of patients when they have experienced both tests.
methodsThe study was conducted with 954 patients from the University of Iowa Hospital and Clinics during 2010 to 2011. Patients scheduled for a colonoscopy were asked to complete a FIT before the colonoscopy preparation. Following both tests, patients completed a questionnaire which was based on an analytic hierarchy process (AHP) decision-making model.
resultsIn the AHP analysis, the test accuracy was given the highest priority (0.457), followed by complications (0.321), and test preparation (0.223). Patients preferred colonoscopy (0.599) compared with FIT (0.401) when considering accuracy; preferred FIT (0.589) compared with colonoscopy (0.411) when considering avoiding complications; and preferred FIT (0.650) compared with colonoscopy (0.350) when considering test preparation. The overall aggregated priorities were 0.517 for FIT, and 0.483 for colonoscopy, indicating patients slightly preferred FIT over colonoscopy. Patients' preferences were significantly different before and after provision of detailed information on test features (p < 0.0001).
conclusionsAHP analysis showed that patients slightly preferred FIT over colonoscopy. The information provided to patients strongly affected patient preference. Patients' test preferences should be considered when ordering a colorectal cancer screening test.
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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.