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. 2024 Feb 1;7(2):e2354256. doi: 10.1001/jamanetworkopen.2023.54256

Table 2. Pooled Estimates of Performance Indicators for FIT and Colonoscopy-Based Programs.

Variable Studies, No. Population, No. Positive test, No. Range, % Point estimate, % (95% CI)a
Participation rate
Overall 12 118 780 105 971 44.5-92.8 85.8 (78.5-91.4)
Voluntary 5 45 699 40 513 77.8-98.2 86.4 (80.9-91.1)
Population-based 4 19 039 17 224 44.5-92.82 83 (58.9-97.7)
Convenience 3 54 042 48 234 88.4-91.24 89.7 (86.8-92.3)
FIT positivity rate
Overall 12 105 971 12 377 5.9-24.9 11.6 (8.7-14.8)
50 ng/dL 5 18 172 3232 9.6-24.9 15.2 (9.6-21.8)
100 ng/dL 5 40 513 5344 5.9-15.2 9.7 (6.8-13.0)
Not reported 2 47 286 3801 8.0-9.1 8 (7.8-8.2)
Detection rates per positive FITb
ADR 12 12 377 3377 5.5-55.07 28.5 (19.1-38.8)
AADR 8 7788 282 1.1-28.2 8.3 (3.5-14.9)
CRC detection rate 12 12 377 410 0.0-12.0 3.5 (1.6-6.0)
Any adenoma (ADR)
FIT-positivec 12 9373 3377 13.9-65.0 39 (29.3-49.2)
Screening colonoscopy 4 3494 699 16.6-26.1 19.9 (15.5-24.8)
Advance Adenoma (AADR)
FIT-positivec 10 7240 648 2.2-34.5 13.3 (7.4-20.5)
Screening colonoscopy 2 2258 62 2.6-3.9 2.9 (1.8-4.3)
CRC detection rate
FIT-positivec 12 9373 420 0.0-15.1 5.4 (3.1-8.2)
Screening colonoscopy 4 3494 15 0.0-1.3 0.4 (0.1-0.8)
Colonoscopy quality indicators
Cecal intubation rate 12 12 203 11 515 86.8-100.0 95.7 (92.7-97.9)
Withdrawal time, mean, min 4 4825 9.9 7.3-17.0 8.4 (4.3-12.4)
Bowel preparation (adequate) 4 6459 6109 83.5-99.6 94.6 (86.6-99.5)

Abbreviations: AADR, advanced adenoma detection rate; ADR, adenoma detection rate (any adenoma); CRC, colorectal cancer; FIT, fecal immunochemical test.

a

Random-effects meta-analysis of proportions.

b

In FIT-based programs.

c

Rates per colonoscopy after positive FIT, from FIT-based programs only.