[Screening for colorectal cancer using immunological fecal occult blood test in inpatients]

Nihon Shokakibyo Gakkai Zasshi. 2018;115(4):377-384. doi: 10.11405/nisshoshi.115.377.
[Article in Japanese]

Abstract

We investigated the usefulness of screening for colorectal cancer (CRC) using immunological fecal occult blood test (FOBT) in 472 scheduled inpatients (median age, 68.6 years) who underwent screening for CRC via FOBT (single stool sample) at our hospital. The recall rate for further examination was 26.6% (126/472), and the rate of patients who underwent further examination was only 34.9% (44/126). The overall colorectal neoplasm detection rate, overall CRC detection rate, and positive predictive value for CRC in inpatients were 5.5% (26/472), 1.4% (7/472), and 5.5% (7/126), respectively, which were higher than those of population-based screening for CRC. Screening for CRC using FOBT in inpatients is a non-invasive and efficient method to detect latent CRC.

MeSH terms

  • Aged
  • Colonic Neoplasms
  • Colonoscopy
  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / immunology
  • Early Detection of Cancer
  • Humans
  • Inpatients
  • Occult Blood*