Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26392783
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Clin+Exp+Gastroenterol
2015 ; 8
(ä): 279-84
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The sensitivity, specificity, predictive values, and likelihood ratios of fecal
occult blood test for the detection of colorectal cancer in hospital settings
#MMPMID26392783
Elsafi SH
; Alqahtani NI
; Zakary NY
; Al Zahrani EM
Clin Exp Gastroenterol
2015[]; 8
(ä): 279-84
PMID26392783
show ga
OBJECTIVES: To study the performance of a single test using two fecal occult
blood tests with colonoscopy for the detection of colorectal cancer (CRC) for the
first time in Saudi Arabia to determine possible implications for the anticipated
colorectal screening program. MATERIALS AND METHODS: We compared the performance
of guaiac and immunochemical fecal occult blood tests for the detection of CRC
among patients of 50-74 years old attending two hospitals in the Eastern Region
of Saudi Arabia. Samples of feces were collected from 257 asymptomatic patients
and 20 cases of confirmed CRC, and they were tested simultaneously by the
guaiac-based occult blood test and monoclonal antibody-based immunoassay kit.
Colonoscopy was performed on all participants and the results were statistically
analyzed with both positive and negative occult blood tests of both methods.
RESULTS: Of the 277 subjects, 79 tested positive for occult blood with at least
one method. Overall, the number of those with an occult blood-positive result by
both tests was 39 (14.1%), while for 198 (71.5%), both tests were negative
(P<0.0001); 40 (14.4%) samples showed a discrepant result. Colonoscopy data were
obtained for all 277 patients. A total of three invasive cancers were detected
among the screening group. Of the three, the guaiac test detected two cases,
while the immunochemical test detected three of them. Of the 20 control cases,
the guaiac test detected 13 CRC cases (P=0.03), while the immunochemical test
detected 16 of them (P<0.0001). The sensitivity of guaiac and immunochemical
tests for the detection of CRC in the screening group was 50.00% (95% confidence
interval [CI] =6.76-93.24) and 75.00% (95% CI =19.41-99.37), respectively. For
comparison, the sensitivity of the guaiac fecal occult blood test for detecting
CRC among the control group was 65.00% (95% CI =40.78-84.61) while that of FIT
was 80.00% (95% CI =56.34-94.27). The specificity of the guaiac and immunoassay
tests was 77.87% (95% CI =72.24-82.83) and 90.12% (95% CI =85.76-93.50),
respectively. The positive likelihood ratio of guaiac and immunochemical tests
for the detection of CRC was 2.26 (95% CI =0.83-6.18) and 7.59 (95% CI
=3.86-14.94), whereas the negative likelihood ratio was 0.64 (95% CI =0.24-1.71)
and 0.28 (95% CI =0.05-1.52), respectively. The positive predictive values of
guaiac and immunochemical tests were 3.45% (95% CI =0.426-11.91) and 10.71% (95%
CI =2.27-28.23), respectively. There was no marked difference in the negative
predictive values for both methods. The sensitivity of the fecal occult blood
test by FIT was significantly higher for stages III and IV colorectal cancer than
for stages I and II (P=0.01) and it was insignificant for the guaiac fecal occult
blood test (P=0.07). CONCLUSION: In areas where other advance screening methods
of CRC are not feasible, the use of FIT can be considered.