Evidence map›Paper›PMID 34645655›Full record

ArticleBJGP open2022

Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability.

Theo Georgiou Delisle, Nigel D'Souza, Bethan Davies, Sally Benton, Michelle Chen, Helen Ward, Muti Abulafi, NICE FIT Steering Committee

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Review
  8. Patient preferences for investigating cancer-related symptoms in Australian general practice: a discrete-choice experiment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  9. 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 · 2023
    Article
  10. 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
  11. Article
  12. Article
  13. Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  14. Article
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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 at 4 institutions in 1 country.

Theo Georgiou DelisleCroydon University Hospital, London, UK.ORCID https://orcid.org/0000-0001-6031-0455
Nigel D'SouzaCroydon University Hospital, London, UK.
Bethan DaviesImperial College London, London, UK.
Sally BentonRoyal Surrey County Hospital, Guildford, UK.
Michelle ChenRM Partners, The West London Cancer Alliance, London, UK.
Helen WardImperial College London, London, UK.
Muti AbulafiCroydon University Hospital, London, UK muti.abulafi@nhs.net.ORCID https://orcid.org/0000-0001-7088-4292
NICE FIT Steering Committee
Croydon University Hospital · GBImperial College London · GBLondon Cancer · GBRoyal Surrey County Hospital · GB

Funding

Wellcome Trust 205456/Z/16/Z
6 · The paper itself

Abstract

backgroundRecent evidence suggests that the faecal immunochemical test (FIT) can rule out colorectal cancer (CRC) in symptomatic patients. To date, there is no research on usability and perception of FIT for these patients.

aimTo measure variation in attitudes and perception of FIT in patients with suspected CRC symptoms. DESIGN &

settingA cross-sectional survey of a subset of participants of the NICE FIT study.

methodA questionnaire was co-developed with patients covering four themes on a Likert scale: FIT feasibility, faecal aversion, patient knowledge, and future intentions. Questionnaire and FIT kits were sent to patients with suspected CRC symptoms participating in the NICE FIT study. Logistic regression explored differences in patients' test perception by ethnic group, language, age, location, deprivation, FIT use, and previous experience.

resultsA total of 1151 questionnaires were analysed; 90.2% (95% confidence interval [CI] = 88.3% to 91.8%) of patients found faecal collection straightforward, 76.3% (95% CI = 73.7% to 78.6%) disagreed FIT was unhygienic, and 78.1% (95% CI = 75.6% to 80.4%) preferred FIT to colonoscopy. Preference for FIT over colonoscopy was weaker in patients aged 40-64 years than those >65 years (odds ratio [OR] 0.60; 95% CI = 0.43 to 0.84). Intention to use FIT again was stronger in patients who successfully used FIT than those unsuccessful (OR 11.08; 95% CI = 2.74 to 44.75), and white compared with non-white patients assessed (OR 3.20; 95% CI = 1.32 to 7.75).

conclusionWhile most patients found FIT practical and hygienic, perception differences were found. Strategies to engage patients with more negative FIT perception should underpin symptomatic FIT pathways.

Indexed as

colonoscopycolorectal neoplasmsfaecesgeneral practicepatientsperception

Identifiers

PMID34645655
PMCPMC8958743
OpenAlexW3206437767

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.