Triage may improve selection to colonoscopy and reduce the number of unnecessary colonoscopies
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Triage may improve selection to colonoscopy and reduce the number of unnecessary colonoscopies. / Petersen, Mathias M.; Ferm, Linnea; Kleif, Jakob; Piper, Thomas B.; Rømer, Eva; Christensen, Ib J.; Nielsen, Hans J.
In: Cancers, Vol. 12, No. 9, 2610, 2020, p. 1-9.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Triage may improve selection to colonoscopy and reduce the number of unnecessary colonoscopies
AU - Petersen, Mathias M.
AU - Ferm, Linnea
AU - Kleif, Jakob
AU - Piper, Thomas B.
AU - Rømer, Eva
AU - Christensen, Ib J.
AU - Nielsen, Hans J.
PY - 2020
Y1 - 2020
N2 - Implementation of population screening for colorectal cancer by direct colonoscopy or follow-up colonoscopy after a positive fecal blood test has challenged the overall capacity of bowel examinations. Certain countries are facing serious colonoscopy capacity constraints, which have led to waiting lists and long time latency of follow-up examinations. Various options for improvement are considered, including increased cut-off values of the fecal blood tests. Results from major clinical studies of blood-based, cancer-associated biomarkers have, however, led to focus on a Triage concept for improved selection to colonoscopy. The Triage test may include subject age, concentration of hemoglobin in a feces test and a combination of certain blood-based cancer-associated biomarkers. Recent results have indicated that Triage may reduce the requirements for colonoscopy by around 30%. Such results may be advantageous for the capacity, the healthcare budgets and in particular, the subjects, who do not need an unnecessary, unpleasant and risk-associated bowel examination.
AB - Implementation of population screening for colorectal cancer by direct colonoscopy or follow-up colonoscopy after a positive fecal blood test has challenged the overall capacity of bowel examinations. Certain countries are facing serious colonoscopy capacity constraints, which have led to waiting lists and long time latency of follow-up examinations. Various options for improvement are considered, including increased cut-off values of the fecal blood tests. Results from major clinical studies of blood-based, cancer-associated biomarkers have, however, led to focus on a Triage concept for improved selection to colonoscopy. The Triage test may include subject age, concentration of hemoglobin in a feces test and a combination of certain blood-based cancer-associated biomarkers. Recent results have indicated that Triage may reduce the requirements for colonoscopy by around 30%. Such results may be advantageous for the capacity, the healthcare budgets and in particular, the subjects, who do not need an unnecessary, unpleasant and risk-associated bowel examination.
KW - Biomarkers
KW - Colonoscopy
KW - Colorectal cancer
KW - Early detection
KW - Feces testing
KW - Screening
KW - Triage
U2 - 10.3390/cancers12092610
DO - 10.3390/cancers12092610
M3 - Journal article
C2 - 32932734
AN - SCOPUS:85090757626
VL - 12
SP - 1
EP - 9
JO - Cancers
JF - Cancers
SN - 2072-6694
IS - 9
M1 - 2610
ER -
ID: 250486540