Cancer Care Ontario guaiac fecal occult blood test (FOBT) laboratory standards: evidentiary base and recommendations.

Abstract:

OBJECTIVES:To evaluate the evidence concerning gFOBT kits and to develop gFOBT standards to be implemented by the Ontario Colorectal Cancer (CRC) Screening Program (the "Program"). DESIGN AND METHODS:We evaluated 3 aspects of gFOBT kits: 1) performance factors; 2) usability factors; and 3) laboratory factors. We obtained information from the published literature, other countries that use gFOBT, the internet, and gFOBT kit manufacturers' instructions. RESULTS:The Program should use a single brand of gFOBT kit with sensitivity > or =40% and specificity > or =95% for the detection of CRC in repeated testing. The Program should regularly monitor gFOBT performance. Participants should not restrict their diets except for eliminating vitamin C supplements and citrus fruits and juices for 3 days prior to and during stool collection; participants should not discontinue taking aspirin (ASA) or non-steroidal anti-inflammatory drugs (NSAIDs). The Program should use one or a limited number of labs; leak-proof envelopes should be used that protect samples during mailing; the lab should delay processing fecal samples for at least 48 h following stool collection; the lab should implement staff training and quality control protocols. CONCLUSIONS:The Program should monitor and report on its performance according to these standards, and should continually assess new evidence related to CRC screening methods.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Rabeneck L,Zwaal C,Goodman JH,Mai V,Zamkanei M

doi

10.1016/j.clinbiochem.2008.08.069

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1289-305

issue

16-17

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(08)00367-6

journal_volume

41

pub_type

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