The increasing burden of the 2-week wait colorectal cancer pathway in a single centre: the impact of faecal immunochemical tests.
Nicholas G FarkasJ W O'BrienL PalyvosWilliam MacleanSally C BentonT RockallI JourdanPublished in: Annals of the Royal College of Surgeons of England (2023)
No significant change in CRC diagnosis was observed, despite increasing TWW referrals. Increasing utilisation of FIT in both primary and secondary care has helped maintain CRC detection while avoiding diagnostic delay. This study supports growing evidence highlighting the value of FIT in triage, referral and TWW investigation. FIT appears increasingly important for allocating secondary care resources (endoscopy), while guiding primary care referral. Additional low-cost strategies to determine prioritisation or reassurance (eg, repeat FIT) require further evaluation.