Examining the Factors That Affect the Diagnosis of Patients with Positive Fecal Occult Blood Test Results

Due to the threat of colorectal cancer (CRC) to health, Taiwan included the fecal occult blood test (FOBT) under preventive health services in 2010. We examined the factors that affect the diagnosis of people with positive FOBT results. Data were retrospectively collected from the CRC screening data...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-06, Vol.19 (13), p.7569
Main Authors: Cheng, Yin-Wen, Li, Ying-Chun
Format: Article
Language:English
Subjects:
Age
Aged
Archives & records
Blood
Colonoscopy
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Diagnosis
Early Detection of Cancer - methods
Family medical history
Female
Gender
Genetics
Health care facilities
Health facilities
Health risks
Health services
Hemorrhoids
Humans
Inflammatory bowel disease
Male
Mass Screening - methods
Medical records
Medical screening
Middle Aged
Mortality
Occult Blood
Patients
Population
Preventive medicine
Retrospective Studies
Risk Factors
Taiwan - epidemiology
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Summary:Due to the threat of colorectal cancer (CRC) to health, Taiwan included the fecal occult blood test (FOBT) under preventive health services in 2010. We examined the factors that affect the diagnosis of people with positive FOBT results. Data were retrospectively collected from the CRC screening database. In the model predicting factors that affect the diagnosis of 89,046 people with positive FOBT results, the risks of disease in the CRC group were lower in medical institutions that conducted follow-up examinations in regions such as Northern Taiwan compared to that in Eastern Taiwan (p = 0.013); they were lower in the age group of 50 to 65 years than those in the age group of 71 to 75 years (p < 0.001, p = 0.016), and lower in the outpatient medical units that conducted follow-up examinations than those in the inpatient medical units by 0.565 times (p < 0.001, 95% CI: 0.493−0.647). Factors affecting the diagnosis of patients with positive FOBT results were gender, the region of the medical institution, medical unit for follow-up examinations, age, screening site, family history, type of follow-up examinations, and follow-up time. Therefore, the identification of characteristics of patients with positive FOBT results and the promotion of follow-up examination are important prevention strategies for CRC.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19137569