| Título: | Sensitivity and Specificity of Colorectal Cancer Mass Screening Methods: A Systematic Review of the Literature |
| Autores: |
Allameh, Z; . Dept. of Clinical Pharmacy, Faculty of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran Davari, M; Dept. of Clinical Pharmacy, Faculty of Pharmacy, Isfahan University of Medical Sciences, Isfahan, Iran Emami, MH; Dept. of Gastroenterology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran |
| Fecha: | 2011-09-13 |
| Publicador: | Shahid Beheshti University of Medical Sciences |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Sensitivity; Specificity; Colorectal neoplasm; Mass screening |
| Descripción: | Background: Colorectal cancer is the second cause of the cancer related mortalities in the world. Screening can effectively reduce the mortality and morbidity rate of this cancer. Sensitivity and specificity of screening methods play an important role in their efficacy. The aim of this study is to review sensitivity and specificity of selected colorectal cancer screening methods systematically.Methods: This study conducted a systematic review of sensitivity and specificity of five common colorectal cancer screening methods. The sites Pubmed, Cochrane library and the center for review and dissemination (CRD database) were searched systematically in Jan 2009. Key questions for this search were focused on the sensitivity and specificity of the 5 screening methods.Results: In these databases 2713 articles were matched well with our subject. Of these 130 articles were selected with specified inclusion-exclusion criteria. The mean ± standard deviation per patient sensitivities of colonoscopy, sigmoidoscopy, double contrast barium enema, CT colonography and fecal occult blood test for detecting colorectal cancer were respectively 94.7 ± 4.6 %, 82.0± 9.3%, 82.3 ± 8.7 % , 95.7 ±5.9% and 45.7 ± 26.5% . Specificities of these tests were respectively 99.8 ± 0.2%, 83.9%, 92.4 ± 14.7%, 98.5 ± 1.3% and 87.6 ± 11.4%.Conclusions: Based on available evidences, colonoscopy has the highest sensitivity and specificity among the selected screening methods and fecal occult blood test has the lowest sensitivity. Almost all of the tests except stool exams have acceptable sensitivity and specificity for detecting colorectal cancer.Key words: Sensitivity; Specificity; Colorectal neoplasm; Mass screeningReferences1. Fauci AS. Harrison's principles of internal medicine. 17th ed. New York: McGraw-Hill Medical ; London : McGraw-Hill [distributor]; 2008.2. Irvine EJ, Hunt RH. Evidence-based gastroenterology. 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1 Health and Education - 2 por Akbari, Mohammad Esmaeil | 6 Effectiveness of Mindfulness-Based Cognitive Therapy on Reduction of Depression and Anxiety Symptoms in Mothers of Children With Cancer por Mehranfar, Mojtaba; Dept. of Counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran,Younesi, Jalal; Dept. of Counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran,Banihashem, Abdollah; Dept. of Internal Medicine and Paediatrics, University of
Medical Sciences, Mashhad, Iran |
2 The Study of DNA Methylation of bax Gene Promoter in Breast and Colorectal Carcinoma Cell Lines por Alipour, Mohsen; Dept. of Cell and Molecular Biology, School of Biology, College of Science, University of Tehran, Tehran, Iran,Zargar, Seyed Jalal; Dept. of Cell and Molecular Biology, School of Biology, College of Science, University of Tehran, Tehran, Iran,Safarian, Shahrokh; Dept. of Cell and Molecular Biology, School of Biology, College of Science, University of Tehran, Tehran, Iran,Fouladdel, Shamile; Dept. of Pharmacology and Toxicology, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran,Azizi, Ebrahim; Dept. of Pharmacology and Toxicology, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
Biotechnology Research Center, Tehran University of Medical Sciences, Tehran, Iran,Jafargholizadeh, Naser; Dept. of Cell & Molecular Biology, School of Biology, College of Science, University of Tehran, Tehran, Iran | 7 Prevention and Management of Mucositis in Patients With Cancer: a Review Article por [wlia, ّatemeh; Dept. of Oral Medicine, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran,«azemeini, ُeidkazem; Burn hospital, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran,gholami, neda; Dept. of Oral Medicine, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran |
3 Cancer Prevention; Cancer Risk Management por Akbari, Mohammad Esmaeil | 8 Psychosocial Care for Breast Cancer: Physicians' Perspective por Kaviani, Ahmad; Department of surgery, Tehran University of Medical Sciences, Tehran, Iran,Mehrdad, N; Iranian Center for Breast Cancer (ICBC), Academic Center for Education, Culture and Research (ACECR), Tehran, Iran,Yunesian, M; school of Public Health , Environmental Research Center, Tehran University of Medical Sciences, Tehran, Iran,Shakiba, B; Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran,Ebrahimi, M; Iranian Center for Breast Cancer (ICBC), Academic Center for Education, Culture and Research (ACECR), Tehran, Iran,Majidzadeh, K; Iranian Center for Breast Cancer (ICBC), Academic Center for Education, Culture and Research (ACECR), Tehran, Iran,Akbari, ME; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
4 Euthanasia in Cancer Patients, Islamic Point of View por Mousavi, SM; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Akbari, A; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Akbari, ME; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Najd Sepas, H; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran | 9 Cell Survival Entropy and Cellular Resistance Activation Dose: Effect of Calprotectin on Gastric Adenocarcinoma Cell Line por Rezaei-Tavirani, Mostafa,Rahmati-Roodsari, Mohammad,Mirzaie, Mehdi,Amini Geram, Pooneh,Sobhi, Sara |
5 Evaluation of Prognostic Factors In Patients with Metastatic Breast Cancer por Saeidi Saedi, H,Seilanian Toosi, M,Mirsadraei, M,Roodbari, S | 10 Antiphospholipid Antibodies in Neoplastic Patients por Mortazavizadeh, MR,Sadeghmanesh, R |