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Bowel screening
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The Faecal Occult Blood test for bowel cancer :
What is the NHS bowel cancer screening programme?
The pilot and the programme since then
Initial reaction to the invitation for screening
People's views of the initial information leaflet
Why people decide to take part in screening
Why some were reluctant or did not take part
The instructions for using the FOBt kit
Doing the Faecal Occult Blood test at home
Storing the samples and posting them
Getting a 'normal' result of a FOBt by post
Getting an 'unclear' or 'abnormal' result by post
When a screening test is abnormal :
Talking to specialist practitioners about results
Preparing for a colonoscopy
The colonoscopy procedure and treatment
Side effects of colonoscopy
Getting colonoscopy results
More treatment needed after an initial colonoscopy :
More treatment needed after an initial colonoscopy
Views of the service and messages to others :
Views of the service and messages to others
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Bowel screening
Subject index
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Cancer
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Bowel screening
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FOBt with normal result
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Interview 19
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Suggests that it is good “citizenship” to be screened because it may prevent disease and save the NHS money.
Invited for screening in 2002, 2004 and 2006. The results of the Faecal Occult Blood (FOB) tests were all normal.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 01
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He was reluctant to repeat the test because he had little time.
Invited for screening in 2001 when aged 62. The first Faecal Occult Blood (FOB) test suggested there might be a problem, so test repeated. He had a colonoscopy, was diagnosed with bowel cancer, had surgery and a temporary ileostomy.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 33
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He decided to be screened when he was still young enough to “fight off” disease if it were diagnosed.
He was invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so he had a colonoscopy, during which one benign polyp was removed.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 25
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She delayed doing the test, partly because she was scared of what the doctors might find.
She was invited to be screened for bowel cancer in 2006, when aged 62. At first she was reluctant to take part, but then decided to do the Faecal Occult Blood (FOB) test, which was normal.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 45
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Her initial attitude was, “If you don't know, you don't worry”.
When screened for bowel cancer in 2005, the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy. Two polyps were removed. One was found to be malignant (cancerous). Now she is well.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 19
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Both her parents had died of different cancers and she thought she might be at high risk of cancer.
Invited for screening in 2002, 2004 and 2006. The results of the Faecal Occult Blood (FOB) tests were all normal.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 27
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The information leaflets helped her decide whether or not to be screened.
Invited to be screened for bowel cancer three times, between 2000 and 2005. The result of the Faecal Occult Blood (FOB) test has been normal each time.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 14
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He did the test because his grandfather had died of cancer and his sister had also had bowel cancer.
He has been invited to be screened for bowel cancer a number of times. He did the Faecal Occult Blood (FOB) test in 2001, 2005 and 2006. The results were normal.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 35
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Her father had died of bowel cancer. She thought it would be silly if she didn't let herself be screened free of charge.
Screened in 2003, with a normal result. In 2005 another Faecal Occult Blood (FOB) test was abnormal. She had a colonoscopy, during which a small polyp was removed. This was followed by surgery to remove a larger cancerous polyp.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 18
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His family history of bowel cancer and his GP persuaded him to take part. He also wanted to live longer to have more time with his grandchildren.
Invited for screening in 2006, when aged 69. The Faecal Occult Blood (FOB) test was abnormal. This led to a colonoscopy, a biopsy, and then another colonoscopy and the removal of benign polyps.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 02
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Her husband had had bowel cancer, and friends' experiences also influenced her decision to be screened.
Screened in 2001, when aged 58. Faecal Occult Blood (FOB) test result normal. In 2003 had bowel problems, consulted her GP, who referred her to a consultant. She had a colonoscopy, with a normal result.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 22
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His past experience of prostate cancer convinced him that it is best to diagnose cancer in the early stages.
Invited for screening in 2006, aged 64. The result of the Faecal Occult Blood (FOB) test was unclear so he repeated the test, which was abnormal. He had a colonoscopy, and a non-malignant polyp was removed.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 05
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He decided to be screened because he thought his GP was involved and that his GP supported the screening programme.
Invited to be screened in 2001, when aged 62, and again in 2005, when aged 66. The results of the Faecal Occult Blood (FOB) tests were both normal.
Cancer
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Bowel screening
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Colonoscopy, all normal
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Interview 23
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He had confidence in the NHS, and he had doctors in the family, so he knew that if a problem were diagnosed during screening he would be well treated
Invited to be screened for bowel cancer in 2006, when aged 65. The result of the Faecal Occult Blood (FOB) test was abnormal so he had a colonoscopy. Nothing abnormal was found.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 01
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He did not believe that there could be anything wrong because he felt fit, members of his family were all well and he had healthy eating habits.
Invited for screening in 2001 when aged 62. The first Faecal Occult Blood (FOB) test suggested there might be a problem, so test repeated. He had a colonoscopy, was diagnosed with bowel cancer, had surgery and a temporary ileostomy.
Cancer
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Bowel screening
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Declined FOBt
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Interview 21
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Explains why she did not do the test - mainly because she thought she had to take stool samples on three consecutive days.
She was invited to be screened for bowel cancer in 2006, but for various reasons she decided not to do the faecal occult blood (FOB) test.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 46
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She didn't do the Faecal Occult Blood test immediately because she thought it would be “a little bit messy”.
Invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, when five polyps were removed. One polyp was cancerous, so she had a left hemi-colectomy.
Cancer
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Bowel screening
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Declined FOBt
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Interview 06
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She decided against taking part because had reacted badly to sedatives and anaesthetics and feared investigations such as colonoscopy.
Has been invited to be screened for bowel cancer twice, but has not done the Faecal Occult Blood (FOB) test mainly because she is afraid of having further investigations.
Cancer
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Bowel screening
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Declined FOBt
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Interview 11
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Having seen a friend die of bowel cancer, and a brother die of a different cancer, he did not want to think about the disease; he knew that wasn't sen
He was invited to be screened for bowel cancer in 2005, when aged 67, but for various reasons he decided not to take part.
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