Patient and healthcare professionals' perceptions of a combined blood and faecal immunochemical test for excluding colorectal cancer diagnosis in primary care

Author:

Nelson Kayleigh1ORCID,Carter Kym1,Hepburn Julie2,Hill Ian2,Hurlow Claire1,O'Neill Claire3,Tang Alethea4,Harris Dean A.14

Affiliation:

1. Faculty of Medicine, Health and Life Sciences Swansea University Swansea Wales

2. Public Involvement Community Health and Care Research Wales Cardiff Wales

3. Bevan Commission Swansea University School of Management Swansea Wales

4. Department of Colorectal Surgery, Morriston Hospital Swansea Bay University Health Board Swansea Wales

Abstract

AbstractObjectivesTo explore the perceptions of patients and healthcare professionals on Raman‐faecal immunochemical test (FIT) as an alternative test for colorectal cancer exclusion in primary care.DesignSemi‐structured interviews within a feasibility study.SettingPatients presenting to primary care with colorectal symptoms and healthcare professionals working in primary and secondary care.ParticipantsA total of 23 patients and 12 healthcare professionals.MethodsPatient participants were asked to complete a novel combined Raman‐FIT test before being seen in secondary care. This study sought their opinions about the test. We also sought the views of healthcare professionals.FindingsPatients and healthcare professionals agreed that Raman‐FIT was a suitable test to be given in primary care. It aligned with routine practice and was a simple test for most patients to complete.ConclusionsPatients are willing and able to complete the Raman‐FIT test in primary care. Raman‐FIT may accelerate access to diagnosis with the potential to improve cancer outcomes.Patient and Public InvolvementLay members (J. H. and I. H.) with experience and knowledge of colorectal cancer and screening contributed to developing, undertaking, and disseminating all aspects of the research. They were supported to collaborate as equal members of the research team. They were involved in developing the study as coapplicants, using personal experience to ensure that the research and its methods were relevant to the patient and public needs. Both prepared participant information sheets, coanalysed data, and contributed to study reporting and dissemination through papers, conference presentations and a lay summary.

Funder

Health and Care Research Wales

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health

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4. Welsh Government.Suspected cancer pathway waiting times: Interactive dashboard.2023. Accessed January 29 2023.https://www.gov.wales/suspected-cancer-pathway-waiting-times-interactive-dashboard

5. Reimagining the diagnostic pathway for gastrointestinal cancer

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