June 9, 2006 — More than 40% of individuals with a positive result on initial stool tests fail to get the essential follow-up colon cancerscreening required to diagnose the disease.
A new study appears that 41% of Veteran’s Administration (VA) patients who received a positive result on a fecal mysterious blood test (FOBT, an starting screening device for colon cancer that recognizes blood in stool) did not go on to receive suitable follow-up tests such as a colonoscopy or barium enema.
“As a country, we are getting superior in providing colorectal cancerscreening, but we ought to do a much superior job in taking after up with demonstrative tests for those patients who have unusual screening comes about,” says analyst David A. Etzioni, MD, of the David Geffen School of Medication at UCLA, in a news discharge.
Analysts say these comes about may really think little of the overall lack of follow-up in colon cancer screening across the country since the VA’s colon cancer screening and follow-up rates are by and large higher than the national average. Understanding Colon Cancer: Stage By Organize
Fecal occult blood test is one of the slightest invasive colon cancer screening strategies and identifies blood in a stool sample. But other conditions may moreover cause blood within the stool, such as hemorrhoids.
In this manner, the FOBT is never utilized to diagnose colon cancer and encourage testing utilizing more invasive tests such as colonoscopy or barium bowel purge is necessary to affirm colon cancer. A colonoscopy requires sedation and includes embeddings a viewing scope through the rectum to see the inside of the colon. A barium bowel purge is an X-ray examination of the colon and rectum using barium as a contrast fabric so the region appears up clearly on the X-ray picture.
In the ponder published in May issue of Illnesses of the Colon and Rectum, analysts analyzed colon cancer screening and follow-up testing information on nearly 40,000 VA patients who met the criteria for colon cancer screening.
In general, 61% were screened for colon cancer, and of those who received a positive result on a fecal occult blood test, 59% gotten a follow-up colonoscopy or barium bowel purge. Forty-one percent received no follow-up at all within the six months after the positive FOBT.
Researchers say the results highlight the need to not only see at starting cancer screening rates to judge quality of health care, but to measure follow-up checking and testing as well.
“Any health care system that provides cancer screening programs has to track each step within the screening process,” says Etzioni. “Many patients were not advertised any kind of add up to colon examination after having a positive screening for colon cancer. Traditionally, quality-of-care appraisals just see at introductory screening rates for colon cancer, but this ponder reveals that endeavors ought to focus on the entire demonstrative process to assist guarantee that patients don’t slip through splits within the framework.”
Researchers say potential solutions to make strides follow-up colon cancer screening may include teaching patients to ask for assist screening and follow-up and putting electronic frameworks in put to track follow-up.