ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2026
Sociodemographic variation in symptomatic faecal immunochemical testing return: a population-based analysis of 125 659 patients.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn the UK, patients presenting in primary care with possible symptoms of colorectal cancer complete faecal immunochemical testing (FIT) as triage for (urgent) colorectal investigation. Little is known about FIT completion rates or sociodemographic variations in these.
aimTo measure overall FIT return for the year 2023 and assess sociodemographic variation in completion. DESIGN AND
settingA population-based analysis of FIT requests made in 2023 to one pathology laboratory serving the North East, North Yorkshire, and Shropshire.
methodThe study included patients aged ≥18 years, for whom sex, postcode sector, and return status were recorded. Index of Multiple Deprivation quintiles, ethnicity tertiles, and rural-urban categories were assigned. Multiple logistic regression assessed associations between sociodemographic characteristics and test (non-)return within 10 weeks. Sensitivity analyses were undertaken: a) excluding younger patients (aged <50 years); and b) removing the 10-week window for test return.
resultsIn total, 93% (
conclusionAlthough FIT completion was high, sociodemographic patterning of (non-)return was evident. Further work is needed on barriers to and facilitators of FIT completion to inform measures to address these observed inequalities and support patients to access timely diagnosis.
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