Pruebas inmunoquímicas fecales (PIF) para determinar la hemoglobina en la evaluación de pacientes con síntomas abdominales inferiores: controversias actuales

Translated title of the contribution: Faecal immunochemical tests for haemoglobin (FIT) in the assessment of patients with lower abdominal symptoms: current controversies

Callum G. Fraser (Lead / Corresponding author)

Research output: Contribution to journalArticle

7 Citations (Scopus)
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Abstract

Faecal immunochemical tests for haemoglobin (FIT), as an adjunct to clinical information, assist in the triage of patients presenting in primary care with lower abdominal symptoms. Controversy remains regarding whether and which qualitative and quantitative FIT can be used, which groups of patients would benefit most from FIT, whether FIT should be done in primary and/or secondary care, and how FIT should be incorporated into diagnostic pathways. Controversy also exists as to the optimum cut-off used for referral for colonoscopy. A single sample of faeces may be sufficient. Reporting of results requires consideration. FIT provide a good rule in test for colorectal cancer and a good rule out test for significant bowel disease, but robust safety-netting is required for patients with negative results and ongoing symptoms. Risk scoring models have been developed, but their value is unclear as yet. Further evaluation of these topics is required to inform good practice.

Translated title of the contributionFaecal immunochemical tests for haemoglobin (FIT) in the assessment of patients with lower abdominal symptoms: current controversies
Original languageSpanish
Pages (from-to)263-270
Number of pages8
JournalGastroenterologia y Hepatologia
Volume42
Issue number4
Early online date17 Nov 2018
DOIs
Publication statusPublished - Apr 2019

Keywords

  • Colorectal cancer
  • Faecal haemoglobin
  • Faecal immunochemical test
  • Faecal occult blood test
  • Lower abdominal symptoms
  • Significant bowel disease

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