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A Scoring Method to Prioritize Fecal Occult Blood Testing as a First Step in Colorectal Cancer Screening in Resource-Limited Settings.
Barbulescu, Linda-Nicoleta; Radulescu, Virginia-Maria; Mogoanta, Stelian-Ștefanița; Barbulescu, Lucian-Florentin; Kamal, Constantin; Radu, Mirela; Cismaru, Liana.
Afiliación
  • Barbulescu LN; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Radulescu VM; Cabinet Medical Dr. Profir I. Mirela SRL, 200145 Craiova, Romania.
  • Mogoanta SȘ; Department of Medical Informatics and Biostatistics, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Barbulescu LF; Department of Automation and Electronics, University of Craiova, 200585 Craiova, Romania.
  • Kamal C; Department of Surgery, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Radu M; Department III of Surgery, University Emergency County Hospital, 200642 Craiova, Romania.
  • Cismaru L; Department of Computers and Information Technology, University of Craiova, 200585 Craiova, Romania.
Diagnostics (Basel) ; 13(15)2023 Aug 01.
Article en En | MEDLINE | ID: mdl-37568919
This study aims to develop a scoring method that can be used by primary care physicians from remote areas or resource-limited settings to estimate the need for fecal occult blood testing (FOBT) as a first step in colorectal cancer screening. This method relies on several modifiable risk factors that can influence a positive FOBT, an indication of the presence of colorectal polyps, or even colorectal cancer. The scoring method considers, besides the age and gender of the patient, the body mass index (BMI), smoking status, and the diagnoses of diabetes mellitus (type 2 diabetes), dyslipidemia, and hypertension. It does not need any paraclinical exams, which is an advantage when access or material resources are limited. The retrospective study was spread over forty-three months, respectively, from October 2019 to April 2023, and included 112 patients. The score that we designed is a numerical value between 0 and 7. The values between 0 and 3 represent a smaller risk of a positive FOBT (9.68%), values 4 and 5 represent a medium risk (14.75%), while values 6 and 7 represent a greater risk (40%). Using this score, a physician can determine if a patient has a greater risk and recommend it to prioritize taking a FOB test.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Idioma: En Revista: Diagnostics (Basel) Año: 2023 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Idioma: En Revista: Diagnostics (Basel) Año: 2023 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza