Evidence map›Paper›PMID 30297435›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Attitudes towards faecal immunochemical testing in patients at increased risk of colorectal cancer: an online survey of GPs in England.

Christian von Wagner, Sandro Stoffel, Madeleine Freeman, Helga Laszlo, Brian D Nicholson, Jessican Sheringham, Dorothy Szinay, Yasemin Hirst

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
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  4. Sociodemographic variations in the uptake of faecal immunochemical tests in primary care: a retrospective study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  5. Article
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  7. The Fast Track FIT study: diagnostic accuracy of faecal immunochemical test for haemoglobin in patients with suspected colorectal cancer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  8. Article
  9. Article
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  11. Article
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  13. Article
  14. The elusive diagnosis of cancer: testing times.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    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

8 authors.

Christian von WagnerResearch Department of Behavioural Science and Health.
Sandro StoffelResearch Department of Behavioural Science and Health.
Madeleine FreemanResearch Department of Behavioural Science and Health.
Helga LaszloUCLH Cancer Collaborative, London.
Brian D NicholsonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Jessican SheringhamDepartment of Applied Health Research, University College London, London.
Dorothy SzinayResearch Department of Behavioural Science and Health.
Yasemin HirstResearch Department of Behavioural Science and Health.

Funding

Cancer Research UK 14134
6 · The paper itself

Abstract

backgroundThere is increasing interest in using a quantitative faecal immunochemical test (FIT) to rule out colorectal cancer (CRC) in patients with high-risk symptoms in primary care.

aimThis study aimed to investigate GPs' attitudes and willingness to use a FIT over an urgent 2-week wait (2WW) referral. DESIGN AND

settingA cross-sectional online survey involving 1024 GPs working across England.

methodLogistic regression models were used to explore the likelihood of GPs using a FIT instead of a 2WW referral, and reported using odds ratios (ORs) and 95% confidence intervals (95% CIs).

resultsJust over one-third of GPs (

conclusionThe study findings suggest that the acceptability of using a FIT as a rule-out test in primary care is currently low, with less than half of GPs who perceived the test to be accurate preferring it over colonoscopy. Any potential guideline changes recommending a FIT in patients with high-risk symptoms, instead of urgent referral to rule out CRC, are likely to require intensive supporting educational outreach to increase GP confidence in the accuracy and application of a FIT in this context.

Indexed as

Primary Health CareAdultAttitude of Health PersonnelColonoscopyColorectal NeoplasmsCross-Sectional StudiesEarly Detection of CancerEnglandFecesFemaleHumansImmunochemistryMaleMiddle AgedOccult BloodOdds Ratio2-week waitcolorectal cancercross-sectional surveyfaecal immunochemical testprimary caresymptomatic

Identifiers

PMID30297435
PMCPMC6193787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.