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Comparison of sensitivities for colorectal cancer between the guaian-based fecal occult blood test (FOBT) and an immunochemical FOBT.

Research Project

Project/Area Number 14570320
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionHirosaki University

Principal Investigator

SAITO Hiroshi  Hirosaki University, Center for Education and Research of Lifelong Learning, Associate Professor, 生涯学習教育研究センター, 助教授 (70196004)

Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 2003: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2002: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsColorectal cancer / Fecal occult blood test(FOBT) / Immunochemical FOBT / Guaiac-based FOBT / Sensitivity / 大腸がん検診
Research Abstract

This study was conducted to compare sensitivity of immunochemical fecal occult blood test(IFOBT) with that of guaiac FOBT. Subjects were 2858 individuals who underwent colonoscopy as part of a multiphasic health examination and 523 outpatients without bloody stool who underwent colonoscopy at a gastrointestinal unit because of abdominal symptoms. Positive results were obtained in 151 and 338 subjects with IFOBT and FOBT, respectively. Cancer was found in 10 individuals and 6 outpatients.
IFOBT gave positive results in 10 out of 16 patients with colorectal cancer, while guaiac FOBT did 5 out of 16. Sensitivities were calculated to be 63% and 31% for IFOBT and FOBT, respectively. There was no statistically significant difference in sensitivity between the two tests (p=0.08) probably due to a smaller sample size and a lower proportion of first-time screenees (approximately 10%) than those expected at the beginning of this study. IFOBT was suggested to be higher in sensitivities than FOBT, however, a larger sample size will be needed to obtain significant results showing it.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (12 results)

All 2004 2003 Other

All Journal Article (7 results) Book (2 results) Publications (3 results)

  • [Journal Article] Screening for colorectal cancer with immunological FOBT2004

    • Author(s)
      Saito H, Nakajima M.
    • Journal Title

      British Journal of Cancer 90

      Pages: 1873-1874

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] がん検診の有効性評価と勧告2004

    • Author(s)
      斎藤 博
    • Journal Title

      癌と化学療法 31

      Pages: 871-876

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Screening for colorectal cancer with immunological FOBT2004

    • Author(s)
      Saito H, Nakajima M
    • Journal Title

      British J Cancer 90

      Pages: 1873-1874

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Prevention o advanced colorectal cancer by screening using the immunochemical faecal occult blood test : a case-control study.2003

    • Author(s)
      Nakajima M, Saito H, Soma Y, Sobue T, Tanaka M, Munakata A.
    • Journal Title

      British J Cancer 89

      Pages: 23-28

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 検診による早期大腸癌のスクリーニング-臨床疫学的観点から臨床2003

    • Author(s)
      斎藤 博
    • Journal Title

      消化器内科 18

      Pages: 269-276

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 糞便中遺伝子を標的とした大腸がんスクリーニング検査 日本がん検診2003

    • Author(s)
      斎藤 博
    • Journal Title

      診断学会誌 10

      Pages: 50-54

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Prevention of advanced colorectal cancer by screening using the immunochemical faecal occult blood test : a case-control study2003

    • Author(s)
      Nakajima M, Saito H, Soma Y, Sobue T, Tanaka M, Munakata A
    • Journal Title

      British J Cancer 89

      Pages: 23-28

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Book] 便潜血検査法:住民検診・職域検診・人間ドックのためのがん検診計画ハンドブック、(三木一正, 渡邊能行(編))2004

    • Author(s)
      斎藤博
    • Total Pages
      189
    • Publisher
      南江堂、東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Book] 現在の大腸がん検診の問題点とこれからの検診計画:住民検診・職域検診・人間ドックのためのがん検診計画ハンドブック、(三木一正,渡邊能行(編))2004

    • Author(s)
      斎藤博
    • Total Pages
      189
    • Publisher
      南江堂、東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Nakajima M, Saito H, et al.: "Prevention of advanced colorectal cancer by screening using the Immunochemical occult blood test. : a case-control study"Br J Cancer. 89. 23-28 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Saito H, Nakajima M: "Reply : Screening for colorectal cancer with immunological FOBT"Br J Cancer. (印刷中). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Nakajima M, Saito H, et al.: "Prevention of advanced colorectal cancer by screening using the immunochemical fecal occult blood test. : a case-control study"Br J Cancer. (印刷中).

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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