Utility of fecal immunochemical test vs guaiac fecal occult blood test for assessment of gastrointestinal bleed in hospitalized patients.

作者: AbdulRazaq Sokoro , Leigh Anne Shafer , Mitchell Darr , Harminder Singh

DOI: 10.1016/J.CCA.2019.10.017

关键词:

摘要: Abstract Background Guaiac fecal occult blood testing (gFOBT) is often used “off-label” for gastrointestinal (GI) bleeding. Fecal Immunochemical Test (FIT) increasingly replacing gFOBT in colorectal cancer screening and may play a role assessment significant bowel disease. We examined the concordance of FIT with (Hemoccult Sensa II) among inpatients between day 1 3 results. Methods was performed alongside on all inpatient stool sent to Winnipeg Health Sciences Centre laboratory over y. days post collection, while only. Results Positivity rates were highest Day (27.7%), lowest (18.3%). Concordance Days negative test results (96.4% 94.1%) significantly higher than that expected by chance alone (58.7% 61.3%, P  Conclusions found no benefit delayed 3 days collection. provides equivalent hospitalized patients.

参考文章(22)
Stephen Ip, AbdulRazaq AH Sokoro, Lisa Kaita, Claudia Ruiz, Elaine McIntyre, Harminder Singh, Use of fecal occult blood testing in hospitalized patients: Results of an audit Canadian Journal of Gastroenterology & Hepatology. ,vol. 28, pp. 489- 494 ,(2014) , 10.1155/2014/697103
Linda Rabeneck, R Bryan Rumble, Frank Thompson, Michael Mills, Curtis Oleschuk, Alexandra Whibley, Hans Messersmith, Nancy Lewis, The FIT Guidelines Expert Panel, Fecal immunochemical tests compared with guaiac fecal occult blood tests for population-based colorectal cancer screening. Canadian Journal of Gastroenterology & Hepatology. ,vol. 26, pp. 131- 147 ,(2012) , 10.1155/2012/486328
Gottumukkala S. Raju, Lauren Gerson, Ananya Das, Blair Lewis, American Gastroenterological Association (AGA) Institute medical position statement on obscure gastrointestinal bleeding. Gastroenterology. ,vol. 133, pp. 1694- 1696 ,(2007) , 10.1053/J.GASTRO.2007.06.008
Colin W Howden, Anna Wanahita, Sanjay Nayyar, Sri Komanduri, Paul Modlinger, Anna Headly, David C Metz, Virender K Sharma, Vino J Verghese, Mae F Go, An audit of the utility of in-patient fecal occult blood testing The American Journal of Gastroenterology. ,vol. 96, pp. 1256- 1260 ,(2001) , 10.1016/S0002-9270(01)02272-9
Deborah A. Fisher, Latisha Judd, Nadia S. Sanford, Inappropriate colorectal cancer screening: findings and implications. The American Journal of Gastroenterology. ,vol. 100, pp. 2526- 2530 ,(2005) , 10.1111/J.1572-0241.2005.00322.X
A. Friedman, A. Chan, L. C. Chin, A. Deen, G. Hammerschlag, M. Lee, J. Liddell, K. Loh, E. Moore, J. Ng, P. R. Gibson, Use and abuse of faecal occult blood tests in an acute hospital inpatient setting. Internal Medicine Journal. ,vol. 40, pp. 107- 111 ,(2010) , 10.1111/J.1445-5994.2009.02149.X
Chien-Hua Chiang, Jen-Eing Jeng, Wen-Ming Wang, Bing-Hong Jheng, Wan-Ting Hsu, Bai-Hsiun Chen, A Comparative Study of Three Fecal Occult Blood Tests in Upper Gastrointestinal Bleeding Kaohsiung Journal of Medical Sciences. ,vol. 22, pp. 223- 228 ,(2006) , 10.1016/S1607-551X(09)70240-2
Dong Il Park, Seungho Ryu, Young-Ho Kim, Suck-Ho Lee, Chang Kyun Lee, Chang Soo Eun, Dong Soo Han, None, Comparison of Guaiac-Based and Quantitative Immunochemical Fecal Occult Blood Testing in a Population at Average Risk Undergoing Colorectal Cancer Screening The American Journal of Gastroenterology. ,vol. 105, pp. 2017- 2025 ,(2010) , 10.1038/AJG.2010.179
Bakhos Tannous, Elizabeth Lee-Lewandrowski, Cyrrene Sharples, William Brugge, Luca Bigatello, Taylor Thompson, Theodore Benzer, Kent Lewandrowski, Comparison of conventional guaiac to four immunochemical methods for fecal occult blood testing: implications for clinical practice in hospital and outpatient settings. Clinica Chimica Acta. ,vol. 400, pp. 120- 122 ,(2009) , 10.1016/J.CCA.2008.10.023
D J Frommer, A Kapparis, M K Brown, Improved screening for colorectal cancer by immunological detection of occult blood. BMJ. ,vol. 296, pp. 1092- 1094 ,(1988) , 10.1136/BMJ.296.6629.1092