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Use of faecal immunochemical tests common in patients with suspected colorectal cancer but unrelated to travel distance to secondary care: a population-based study from Swedish primary care
Umeå University, Sweden.
Lund University, Sweden;Region Kronoberg, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Lund University, Sweden;Region Kronoberg, Sweden.ORCID iD: 0000-0002-3785-5630
Umeå University, Sweden.
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2022 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 40, no 4, p. 459-465Article in journal (Refereed) Published
Abstract [en]

Background Evidence is increasing for the use of faecal immunochemical tests (FITs) for occult blood as diagnostic tools when colorectal cancer can be suspected. FITs have been used for this purpose in Swedish primary care since around 2005 despite absence of supporting guidelines. To our knowledge, the extent of this use has not been studied. Objective To investigate the use of FITs as diagnostic tools, and if the use was related to patient age, sex and travel time from primary care to diagnostic facilities in secondary care. Design Population-based retrospective study using data from electronic health records. Setting and subjects Patients >= 18 years that provided FITs in primary care in five Swedish health care regions during 2015. Driving times from their primary care centres to secondary care were calculated. Main outcome measures The proportion of patients that provided FITs was calculated for each region, different age intervals and grouped driving times. Results 18,913 patients provided FITs. The proportion of listed patients in the five regions that provided FITs increased with age: 0.86-1.2% for ages <65 years, 3.6-4.1% for ages 65-79 years and 3.8-6.1% for ages >= 80 years. Differences between the regions were small. There was no overall correlation between the proportion of patients that provided FITs and driving time to secondary care. Conclusion FITs were used extensively in Swedish primary care with a higher use in older age groups. There was no tendency towards a higher use of FITs at primary care centres with longer driving times to secondary care.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022. Vol. 40, no 4, p. 459-465
Keywords [en]
Colorectal cancer, travel time, faecal immunochemical tests, occult blood, primary health care, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Cancer and Oncology
Research subject
Natural Science, Medicine
Identifiers
URN: urn:nbn:se:lnu:diva-117814DOI: 10.1080/02813432.2022.2144934ISI: 000884694400001PubMedID: 36380479Scopus ID: 2-s2.0-85142305087OAI: oai:DiVA.org:lnu-117814DiVA, id: diva2:1717495
Available from: 2022-12-08 Created: 2022-12-08 Last updated: 2023-05-10Bibliographically approved

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Thulesius, Hans

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