Evidence map›Paper›PMID 40861722›Full record

ArticleCureus2025

Assessment of Fecal Occult Blood Testing in Acute Hospital Settings: Perspectives of Internal Medicine Residents in a Multicenter Study.

Suryanarayana Reddy Challa, Gabriel Buluku, Temitayo Gboluaje, Ahtshamullah Chaudhry, Angesom Kibreab, Farshad Aduli, Sneha Adidam, Hassan Ashktorab, Adeyinka Laiyemo

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Suryanarayana Reddy ChallaGastroenterology, New York University (NYU) Langone Hospital, Long Island, USA.
Gabriel BulukuInternal Medicine, St. Dominic Hospital, Jackson, USA.
Temitayo GboluajeGastroenterology and Hepatology, First State Gastroenterology, Dover, USA.
Ahtshamullah ChaudhryInternal Medicine, St. Dominic Hospital, Jackson, USA.
Angesom KibreabInternal Medicine, Howard University College of Medicine, Washington, DC, USA.
Farshad AduliGastroenterology, Howard University College of Medicine, Washington, DC, USA.
Sneha AdidamInternal Medicine, Howard University College of Medicine, Washington, DC, USA.
Hassan AshktorabMedicine and Cancer Center, Howard University College of Medicine, Washington, DC, USA.
Adeyinka LaiyemoMedicine and Cancer Center, Howard University College of Medicine, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Fecal occult blood testing (FOBT) is an outpatient screening tool for colorectal cancer. However, it is widely used in the hospital setting among hospitalized patients for a myriad of reasons. The aim of our study is to understand the knowledge and current utilization of FOBT among internal medicine (IM) residents across multiple training programs in the United States. Methods This was a multicenter survey conducted among 25 IM residency programs. A 15-item questionnaire survey on FOBT was emailed to IM residents in May 2022, at the end of the academic year, with two bi-weekly follow-up reminders. Logistic regression models and Stata statistical software version 14.2 (StataCorp, College Station, TX) were used for the analysis. Those included in the study were IM residents at any level of training. The exclusion criterion was other residents not enrolled in an IM program. Results A total of 227 (100%) IM residents responded to the survey (n=96 (42.2%) in post-graduate year (PGY)-1, n=67 (29.5%) in PGY-2, n=64 (28.2%) in PGY-3). Overall, 151 (66.5%) residents sometimes or always ordered FOBT during their respective training period and 153 (67.4%) ordered this test more often in inpatient than in outpatient settings. Approximately 136 (60%) residents had knowledge of dietary restrictions but only 73 (32%) residents questioned the patients before ordering it. The triggers for ordering FOBT were mostly anemia (174, 32%) followed by a change in stool color (102, 19%), weight loss (99, 18%) and bleeding per rectum (71, 13%). Majority (141, 62%) of the respondents felt influenced by their supervisors and 130 (57.2%) felt that FOBT results will change their management. Overall, as postgraduate year training increased, trainees were less likely to order FOBT for suspected GI bleeding. Conclusion Our survey results showed that residents were influenced by their supervisors and ordered FOBT largely in the inpatient setting. Although there was noted improvement in understanding of the futility of FOBT in suspected acute GI bleeding, more than half of final-year trainees would still order FOBT. There is a need for better education of IM trainees in the utilization of FOBT.

Indexed as

fecal occult blood testinpatientinternal medicineknowledgepostgraduate

Identifiers

PMID40861722
PMCPMC12372565

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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.