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ACB-CLIN-CHEM-GEN  June 2015

ACB-CLIN-CHEM-GEN June 2015

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Subject:

Re: Earlier diagnosis of cancer

From:

David James <[log in to unmask]>

Reply-To:

David James <[log in to unmask]>

Date:

Tue, 23 Jun 2015 11:31:45 +0000

Content-Type:

text/plain

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Sorry - if I think I or a family member is at risk of bowel cancer I'll go for the telescope!!

How many people would feel comfortable in sending patient away if FOB negative and pt has symptoms/signs??

dj

-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Benton Sally (ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST)
Sent: 23 June 2015 09:19
To: [log in to unmask]
Subject: Re: Earlier diagnosis of cancer

---
This message was sent from an email address external to NHSmail but gives the appearance of being from an NHSmail (@[log in to unmask]) address. The recipient should verify the sender and content before acting upon information contained within.

The identified sender is [log in to unmask]
---
Hi Jonathon,

In the bowel cancer screening world we are very surprised that this test has still been included and are discussing how to respond.

A number of professional bodies, groups and individuals involved in colorectal cancer responded to the draft guidelines highlighting the deficiencies of the FOB test for diagnosis, particularly due to the high risk of false negative results.  The guiaic test is certainly unsuitable diagnostically and there is currently insufficient evidence to support faecal immunochemical testing in this situation.  So I'm not sure that producing professional standards for performance of the assay is going to help things at this stage since no matter how well the test is performed it is still likely to generate a result that may lead to the incorrect diagnosis.

Sally


Sally C Benton FRCPath
Consultant Biochemist, Surrey Pathology Services, Royal Surrey County Hospital, Guildford Director, Bowel Cancer Screening Hub - South of England Direct telephone: 01483 409850
PA: Kate Randall. Telephone: 01483 409854 Postal Address:
Bowel Cancer Screening Southern Programme Hub Surrey Research Park,  20 Priestley Road Guildford, Surrey
GU2 7YS


-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 23 June 2015 09:03
To: [log in to unmask]
Subject: Earlier diagnosis of cancer

NICE guidance just published on earlier diagnosis of cancer.

There's a big new emphasis on measurement of occult blood (and similar)*. Does the ACB have professional standards for performance of this assay?

Jonathan

* And so soon after we engineered it out of primary care...

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------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
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------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
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