Back-to-front advice on bowel cancer detection

[i]Effect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death. Bretthauer M, Løberg M, Wieszczy P et al for the NordICC Study Group. NEJM https://www.nejm.org/doi/full/10.1056/NEJMoa2208375

[ii] Hunched over in pain, vomiting, mum-of-two still denied the tests needed to diagnose her bowel cancer

Jo Mckenzie-Mclean Stuff. https://tinyurl.com/mutmxpz4

[iii] Pin-Vieito N, Puga M, Fernández-de-Castro D, Cubiella J. Faecal immunochemical test outside colorectal cancer screening? World J Gastroenterol. 2021 Oct 14;27(38):6415-6429. doi: 10.3748/wjg.v27.i38.6415. PMID: 34720531; PMCID: PMC8517780.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517780/

[iv] Del Giudice ME, Vella ET, Hey A, Simunovic M, Harris W, Levitt C. Systematic review of clinical features of suspected colorectal cancer in primary care. Can Fam Physician. 2014 Aug;60(8):e405-15. PMID: 25122831; PMCID: PMC4131977.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4131977/

[v] Chen CH, Wen CP, Tsai MK. Fecal immunochemical test for colorectal cancer from a prospective cohort with 513,283 individuals: Providing detailed number needed to scope (NNS) before colonoscopy. Medicine (Baltimore). 2016 Sep;95(36):e4414. doi: 10.1097/MD.0000000000004414. PMID: 27603337; PMCID: PMC5023859.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023859/#:~:text=FIT%20value%20above%20100%20ng,2).

[vi] Ministry of Health. 2019. Referral Criteria for Direct Access Outpatient Colonoscopy or Computed Tomography Colonography https://www.health.govt.nz/system/files/documents/publications/referral-criteria-direct-access-outpatient-colonoscopy-computed-tomography-colonography-feb19-v2.pdf

[vii] Monahan KJ, Davies MM, Abulafi M, et alFaecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG)Gut 2022;71:1939-1962. https://gut.bmj.com/content/71/10/1939