Recommendations on Fecal Immunochemical Testing to Screen for Colorectal Neoplasia: A Consensus Statement by the US Multi-Society Task Force on Colorectal Cancer

被引:142
作者
Robertson, Douglas J. [1 ,2 ]
Lee, Jeffrey K. [3 ]
Boland, C. Richard [4 ]
Dominitz, Jason A. [5 ]
Giardiello, Francis M. [6 ]
Johnson, David A. [7 ]
Kaltenbach, Tonya [8 ]
Lieberman, David [9 ]
Levin, Theodore R. [10 ]
Rex, Douglas K. [11 ]
机构
[1] VA Med Ctr, White River Jct, VT USA
[2] Geisel Sch Med Dartmouth, Hanover, NH USA
[3] Univ Calif San Francisco, Med Ctr, San Francisco, CA USA
[4] Baylor Univ, Med Ctr, Dallas, TX USA
[5] Univ Washington, Sch Med, VA Puget Sound Hlth Care Syst, Seattle, WA USA
[6] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[7] Eastern VA Med Sch, Norfolk, VA USA
[8] Univ Calif San Francisco, San Francisco Vet Affairs Med Ctr, San Francisco, CA 94143 USA
[9] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[10] Kaiser Permanente Med Ctr, Walnut Creek, CA USA
[11] Indiana Univ Sch Med, Indianapolis, IN 46202 USA
关键词
OCCULT-BLOOD-TEST; RANDOMIZED CONTROLLED-TRIAL; LOW-DOSE ASPIRIN; AVERAGE-RISK POPULATION; SAMPLE RETURN TIME; ADENOMA DETECTION; ASYMPTOMATIC ADULTS; COLONOSCOPY SURVEILLANCE; AMBIENT-TEMPERATURE; SEASONAL-VARIATIONS;
D O I
10.1053/j.gastro.2016.08.053
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The use of the fecal occult blood test ( FOBT) for colorectal cancer ( CRC) screening is supported by randomized trials demonstrating effectiveness in cancer prevention and widely recommended by guidelines for this purpose. The fecal immunochemical test ( FIT), as a direct measure of human hemoglobin in stool has a number of advantages relative to conventional FOBT and is increasingly used relative to that test. This review summarizes current evidence for FIT in colorectal neoplasia detection and the comparative effectiveness of FIT relative to other commonly used CRC screening modalities. Based on evidence, guidance statements on FIT application were developed and quality metrics for program implementation proposed.
引用
收藏
页码:1217 / +
页数:24
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