Update on Symptomatic FIT Testing for Colorectal Cancer Advisory Group
Get the latest insights from the SWAG Colorectal Cancer Clinical Advisory Group meeting regarding symptomatic Faecal Immunochemistry Testing (FIT) for various regions. Discover workload statistics, positivity rates, age demographics, and criteria changes. Stay informed on FIT testing trends and developments.
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SWAG Colorectal Cancer Clinical Advisory Group Meeting 02.05.2024 Symptomatic Faecal Immunochemistry Testing (FIT) Update Dr Adrian Heaps Consultant Clinical Scientist
Summary Symptomatic FIT for SWAG-CA region: BSW 48K /yr (postal requests) BNSSG 43K / yr (90% ICE requests) GLOS 28K / yr (NPEX lab links) SOM 24K / yr (Postal and minority NPEX) Non-SWAG ~1K / yr (various) 99% primary care requests 1% secondary care
FIT workload FIT Requests 14000 12000 10000 8000 6000 4000 2000 0
FIT workload by requesting source FIT Requests 12000 10000 8000 Day Case Emergency External 6000 GP Inpatient NPEX 4000 Outpatient Private 2000 0
Positivity rate % FIT Positive 50.00% 45.00% 40.00% 35.00% 30.00% 25.00% Total 20.00% Linear (Total) 15.00% 10.00% 5.00% 0.00% 2022-11 2022-12 2023-01 2023-02 2023-03 2023-04 2023-05 2023-06 2023-07 2023-08 2023-09 2023-10 2023-11 2023-12 2024-01 2024-02 2024-03
% testing under 50 years 25.00% % <50 Years Old 20.00% 15.00% 10.00% 5.00% 0.00%
Workload by requesting criteria New FIT criteria introduced July 2022 (BSG): Previous criteria: Change in bowel habit age (>40 yrs) Iron / non-iron deficiency anaemia Symptoms but are low risk (>18 yrs) New criteria: 2 week wait referral 2 week wait referral Non Non- -site site- -specific symptoms specific symptoms Low risk but not no risk Low risk but not no risk
Workload by requesting criteria 4500 4000 3500 2 Week Wait Referral 3000 Change in bowel habit (age >40 y) 2500 Iron / non-iron deficiency anaemia 2000 Low risk but not no risk 1500 Non-site specific symptoms Not Provided 1000 Symptoms but are low risk (age >18 y) 500 0 2018-06 2018-08 2018-10 2018-12 2019-02 2019-04 2019-06 2019-08 2019-10 2019-12 2020-02 2020-04 2020-06 2020-08 2020-10 2020-12 2021-02 2021-04 2021-06 2021-08 2021-10 2021-12 2022-02 2022-04 2022-06 2022-08 2022-10 2022-12 2023-02 2023-04 2023-06 2023-08 2023-10 2023-12 2024-02
Workload by requesting criteria 2023-24 4500 4000 3500 2 Week Wait Referral 3000 Change in bowel habit (age >40 y) 2500 Iron / non-iron deficiency anaemia Low risk but not no risk 2000 Non-site specific symptoms 1500 Not Provided Symptoms but are low risk (age >18 y) 1000 500 0 2023-04 2023-05 2023-06 2023-07 2023-08 2023-09 2023-10 2023-11 2023-12 2024-01 2024-02 2024-03
Workload by requesting criteria 2023-24 FIT Requesting Criteria Not Provided 0.260720656 Non-site specific symptoms 0.216354153 Low risk but not no risk 0.291365019 2 Week Wait Referral 0.231560172 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00%
Total % positives by age group Age <30 30-39 40-49 50-59 60-69 70-79 80+ Grand Total Request_Count Positive Count % Positive 8835 20970 36689 69276 68499 84382 63330 351981 1208 2525 4290 8622 10668 16832 16666 60811 13.67% 12.04% 11.69% 12.45% 15.57% 19.95% 26.32% 17.28%
% positivity by age group: 2 week wait referral criteria 2 Week Wait Referral % Positive Age group <30 30-39 40-49 50-59 60-69 70-79 80+ 21.17% 17.54% 14.79% 15.74% 18.89% 23.00% 28.95%
% positivity by age group: Low risk but not no risk criteria Low risk but not no risk % Positive Age group <30 30-39 40-49 50-59 60-69 70-79 80+ 12.66% 10.98% 11.52% 12.07% 14.97% 19.32% 25.08%
% positivity by age group: non- site-specific symptoms criteria Non-site-specific symptoms % Positive Age group <30 30-39 40-49 50-59 60-69 70-79 80+ 13.59% 11.34% 10.96% 11.11% 14.51% 19.48% 26.02%
% positivity by age group: no criteria provided with request No criteria provided % Positive Age group <30 30-39 40-49 50-59 60-69 70-79 80+ 14.75% 12.96% 12.83% 13.29% 16.48% 20.68% 27.88%
