It’s the colon cancer screen kit heavily advertised on television, and I had one delivered several days ago and it’s sitting there in my living room right now. I’ll probably send it back later this week. :o
Has anyone else done this, and what was your experience? Yeah, I’m a wimp and opted for this instead of a colonoscopy.
Just get over yourself and sign up for a colonoscopy. When you do, there are approximately one million threads on this board with pertinent advice. I’ve had three. No big deal. The doc does enough of them every day to pay for his/her vacation home in Vail, and doesn’t give a rat’s ass about your ass.
Many insurance companies routinely send the test to their customers.
I never asked for it. It arrived in the mail last year. Then again this year.
I still intend to get another colonoscopy. I have GERD and they scoped both ends last time. I had a lot of irritation & scarring in my esophagus and stomach. The other end was fine. No polyps.
Meanwhile the simple poop on a stick test is reassuring.
I need someone to help me understand my HMO’s protocol:
For several years, my HMO sent the DIY mail-order kit every year.
One year I had a major bout of prolonged constipation for no apparent reason, whereupon the doc ordered up a real colonoscopy. Results were basically good: Just two smallish polyps found, both removed. (From what I understand, that’s nothing. In the “bad” cases they would find a whole forest of them.)
And what has happened since? For whatever reason, once one has the REAL THING, they no longer do the mail-order tests, but instead tell me to have the full colonoscopy done again once every ten years.
No, they’re saying I now should get a real colonoscopy after TEN years, and no more annual DIY mail-order kits in the meantime.
One point the doctor mentioned is that these polyps grow really really slowly, so after taking out a few, there’s no real urgency to check again for another ten years. Okay, that makes sense enough.
But why no more annual DIY kits in the meantime? They certainly can’t be very expensive tests to run every year.
First off some are confusing the inexpensive annual fecal immunochemical test (FIT) with the newer, heavily advertised, and much more expensive Cologuard.
FIT is yearly, has a fairly low false positive rate, and done yearly will be not quite but almost as good as the gold standard of colonoscopy. Cologuard is tentatively every three years and has a higher false positive rate. Positives in either result in going to gold standard, colonoscopy, which is both screening and diagnostic. Cologuard will miss fewer than FIT as a one time test but testing is not a one time test. It is not clear that it every three years will miss fewer than annual FIT. It is likely to have more false positives.
Annual FITs once you’ve done the gold standard are more likely to result in false positives and an earlier than needed additional colonoscopy than a new true positive.
Someone at higher risk because of past polyps or family history really should go with gold standard.
There is no reason to believe that Cologuard every three adds any advantage over annual FITs. It does however cost much more. Many who start in either stool testing arm will shift over to colonoscopy due to the false positive rates.
If you’ve had a colonoscopy does the poop test add anything? Because I have had the former, but the lab still keeps giving me the latter. (And I just throw them away, and no one seems to care. Seems wasteful.)
Despite my screen name, IANAD IRL. That said, I do have experience with Cologuard and have done a substantial amount of research. I think the question is “Why do an invasive procedure of any kind when it’s not necessary?”
A good, well cited article on Cologuard at gastro.org says, in part:
In my age bracket there is a 6% chance of a false positive, in which case one schedules a colonoscopy. Conversely, 94% of the time the invasive procedure is not needed. YMMV.
I think, now, that DSeid’s post, above, must be the right answer. The DIY tests I had been given previously were those cheap FIT tests, not the double-plus-expensive thing. Once I had the genuine stick-it-up-my-rear test, they told me at the time that I should thereafter have a real colonoscopy once every ten years, and NOT continue to have the annual DIY FIT test in the meantime.
DSeid makes this intriguing remark, without further explanation:
Why would having a colonoscopy increase the false-positive rate of subsequent FIT tests?
Here’s my speculative interpretation. DSeid, am I on the right track?
I guess that, having had a full colonoscopy that finds nothing, or finds very little, then the likelihood of actually having a problem in the next ten years is much reduced. I take this to mean that subsequent FIT tests don’t have a greater chance of positive results, but only that those positive results have a greater chance of being false. Am I thinking a-right here?