I'm a US med student who helps run a free clinic for a low SES population. We have acquired FIT tests through a research protocol run through our college but the inclusion criteria which allows us to give the tests are very strict (not just USPSTF/ACG guidelines), leaving many patients without screening options.
I've seen home test and home result kits on Amazon and elsewhere that, given their price, might be affordable for initial screening for patients (link).
Do you all think this would be a valid option for patients to consider? My current pro/con thought process is as follows:
If (and only if) the products meet industry standards and education on when to perform the test are provided, it is better than no screening at all under the current guidelines.
If patient has positive FIT, we can refer for diagnostic colonoscopy, which our charity care covers (does not screening colonoscopy).
At home testing and results certainly have hazards, hopefully able to be somewhat mitigated by education in clinic.
Do the products themselves meet industry standards of accuracy and precision?
Thank you all again.
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