A 5-year evaluation of using stool-based test for opportunistic colorectal cancer screening in primary health institutions across Malaysia.

Abstract:

INTRODUCTION:The immunochemical fecal occult blood test (iFOBT) has been widely used for opportunistic colorectal cancer (CRC) screening in average-risk individuals seeking care from public health clinics in Malaysia. This study provides a 5-year outcome evaluation of such a practice. METHODS:The findings for a few outcome indicators, ranging from the iFOBT uptake to the CRC and polyp detection rates, were generated from the data contributed by 583 public health clinics between 2014 and 2018. The trends in their changes were also evaluated. RESULTS:The iFOBT uptake constantly increased over the years (p < 0.001), totaling 2.29 % (n = 127,957) as at 2018. Nearly 10 % (n = 11,872) of the individuals screened had a positive test result. Of those who underwent colonoscopy (n = 6,491), 4.04 % (n = 262) and 13.93 % (n = 904) were found to have CRC and polyps, respectively. CONCLUSION:An uptrend in the CRC screening uptake was witnessed following the introduction of the iFOBT in public health clinics.

journal_name

Cancer Epidemiol

journal_title

Cancer epidemiology

authors

Tamin NSI,Razalli KA,Sallahuddin SN,Chan HK,Hassan MRA

doi

10.1016/j.canep.2020.101829

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

101829

eissn

1877-7821

issn

1877-783X

pii

S1877-7821(20)30163-6

journal_volume

69

pub_type

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