Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
• FIT: 79% sensitivity, 94% specificity for CRC
• Multitarget stool DNA test: 92% sensitivity, 87% specificity for CRC, Long term reduction in CRC incidence unknown
• Septin 9: 48% sensitivity, 91% specificity for CRC
Direct visualization:
• Colonoscopy: 100% detection rate for CRC, Long term reduction in CRC incidence of 31-71%, mortality 65-88%
• Flexible sigmoidoscopy: 90-100% sensitivity for distal CRC, Long term reduction in CRC incidence 21%, mortality 26%
• CT colonography: 90-100% sensitivity for CRC, Poor sensitivity for flat lesions or SSLs
• Colon capsule: 81% sensitivity, 93% specificity for polyps >6mm
by Dr. Chaitanya Allamneni @CAllamneni via Emory Gastroenterology and Hepatology @EmoryGastroHep
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