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. 2020 Oct 1. Online ahead of print. doi: 10.1016/j.cgh.2020.09.048

Supplementary Table 3.

Comparisons and Outcomes From FOBT Studies Included in the Systematic Review

Author, Year Comparator Time From FIT Alternate Time Cutoffs Outcomes Detailed Results Summary
Gellad, 200942 Continuous Continuous Incidence of CRC or advanced adenoma(s)
(at colonoscopy)
  • Mean time to colonoscopy 236 ± 112 d

  • Advanced adenomas found in 11% of patients

  • CRC found in 4% of patients

  • Longer time to colonoscopy associated with more advanced findings (analysis of variance P = .04)

  • Nonsignificant trend toward longer time to colonoscopy and presence of advanced neoplasia: OR was 1.07 (95% CI, 0.98–1.18) for each additional 1-mo wait

Incremental delays to colonoscopy of 1 mo after positive FOBT were associated with a nonsignificant trend toward higher incidence of CRC and advanced adenomas combined. This study was limited by sample size.
Flugelman, 201918 Within 3 mo Within 4–6, 7–12, >12 mo CRC-specific mortality
  • For the 4–6 and 7–12-mo groups, HRs for CRC-specific mortality were 0.81 (95% CI, 0.55–1.19) and 0.83 (95% CI, 0.50–1.41)

  • HR for >12 mo group was 1.53 (95% CI, 1.13–2.12)

Delays to colonoscopy of 12 mo or more after positive FOBT were significantly associated with higher CRC-specific mortality (compared with performing colonoscopy within 3 mo).
Beshara, 202017 Within 3 mo 4–6, 7–9,
10–12, 13–18,
19–24 mo
CRC incidence (at colonoscopy)
CRC stage
  • 39 of 1000 persons if colonoscopy performed within 3 mo

  • No significant changes in CRC within 4–6, 7–9, or 10–12 mo (cases per 1000 were 25, 35, and 42, respectively): AORs were 0.66 (95% CI, 0.51–0.85), 1.01 (95% CI, 0.70–1.46), and 1.20 (95% CI, 0.77–1.88)

  • Significantly higher CRC incidence within 13–18 or 19–24 mo (cases per 1000 were 73 and 74, respectively): AORs were 1.93 (95% CI, 1.39–2.69) and 1.78 (95% CI, 1.13–2.80)

  • Advanced stage in 9 of 1000 persons if colonoscopy performed within 3 mo

  • Significantly higher CRC incidence within 13–18 mo (18 cases per 1000): AOR was 2.11 (95% CI, 1.12–3.99)

Delays to colonoscopy of 12 mo or more after positive FOBT were significantly associated with higher CRC incidence and more advanced stage of diagnosis (compared with performing colonoscopy within 3 mo).

AOR, adjusted odds ratio; CI, confidence interval; CRC, colorectal cancer; FIT, fecal immunochemical test; FOBT, fecal occult blood test; HR, hazard ratio; OR, odds ratio.