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- Title
Does Use of the Coloscreen Self-Test Improve Patient Compliance with Fecal Occult Blood Screening?
- Authors
Park, Suzanna I.; Saxe, Jonathan C.; Weesner, Robert E.
- Abstract
Occult blood-screening methods which do not require stool manipulation have been devised in an attempt to improve patient compliance with fecal occult blood testing. We performed a randomized, prospective study comparing patient compliance with the Coloscreen Self Test, a fecal occult blood detection method which does not require stool manipulation, and standard guaiac-impregnated cards in a VA clinic and a university-based private practice to determine whether the Coloscreen Self-Test would improve patient compliance with fecal occult blood testing. Overall, there was no significant difference in compliance between the two tests, with a compliance of 71% (105/147) for the guaiac cards and 60% (88/136) for the Coloscreen Self-Test (p = 0.49). However, multiple logistic regression showed that, when using the Coloscreen Self-Test, patients at the VA clinic had significantly reduced compliance. Only 46% (23/50) returned the Coloscreen Self-Test compared with 84% (42/50) who returned the guaiac cards (p < 0.05). We conclude that the Coloscreen Self-Test does not improve patient compliance with fecal occult blood testing, and may reduce compliance in some sectors of the population.
- Subjects
BLOOD testing; PATIENT compliance; FECES; MEDICAL research; MULTIPLE regression analysis
- Publication
American Journal of Gastroenterology (Springer Nature), 1993, Vol 88, Issue 9, p1391
- ISSN
0002-9270
- Publication type
Article