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BMJ 2004;329 (17 July), doi:10.1136/bmj.329.7458.0
Screening for colorectal cancer within the NHS is feasible. In a demonstration pilot, the UK Colorectal Cancer Screening Pilot Group (p 133) used faecal occult blood testing to screen 478 250 people aged 50-69 living in England and Scotland. They found that 57% of those invited took part; 1.9% had positive results, and the rate for detecting cancer was 1.62 per 1000 people screened. The cost of screening was about £5900 per life year saved. Offering screening to everyone will require an increase in provision of endoscopy services, the authors say.
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Credit: GASTROLAB
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