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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
Topic
Cancer
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Bowel screening
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People's views of the initial information leaflet
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People's views of the initial information leaflet
People's views of the initial information
Clip
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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The information was adequate for his needs.
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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Diagnosed with cancer
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Interview 34
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The information was very enlightening.
Invited to be screened for bowel cancer in 2006, when aged 61. The result of the Faecal Occult Blood (FOB) test was abnormal, so he had a colonoscopy. One polyp was removed, which was found to be cancerous.
Cancer
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Bowel screening
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FOBt unclear, then normal
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Interview 16
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The leaflet is brilliant. It tells you what the test is all about.
Invited to be screened for bowel cancer in 2003, aged 65. The result of the Faecal Occult Blood (FOB) test was normal. Screened again in 2005, and had to repeat the test. The result was 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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The information leaflet convinced him that screening was worth doing.
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 polyps
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Interview 22
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Was surprised to read about the symptoms of bowel cancer in the leaflet.
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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Diagnosed with polyps
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Interview 37
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He was glad to read that an unclear or abnormal FOB test result does not necessarily mean a person has cancer.
He was invited to be screened for bowel cancer in 2006, when aged 65. After an abnormal Faecal Occult Blood test he had a colonoscopy, during which two benign polyps were removed.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 33
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The leaflet explained that things could go wrong during colonoscopy and that the doctor could puncture the bowel, but he did not worry about it.
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 27
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Was happy with the amount of information in the booklet. Thought that more information would have frightened her.
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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Declined FOBt
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Interview 06
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She thinks that the letter and initial information leaflet should be more explicit about what might happen during a 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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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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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 43
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The nurse gave him detailed information and appeared to show genuine concern. He didn't want to hear details about the risks involved in colonoscopy.
In 2005 he had a Faecal Occult Blood (FOB) test, which was abnormal, so he had a colonoscopy, during which a polyp was found. Later he had a right hemi-colectomy and the polyp, which was found to be malignant, was removed.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 40
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The nurse gave her the opportunity of talking to someone who had had a colonoscopy but she talked to two other nurses instead.
She was invited to be screened for bowel cancer. A Faecal Occult Blood (FOB) test in 2003 was abnormal so she repeated the test. This was also abnormal. She had a colonoscopy, during which polyps were removed.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 24
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He was given all the relevant information, and understood that a colonoscopy is considered to be very safe.
Screened in 2001 and 2003. Results were normal. In 2005 he did another Faecal Occult Blood (FOB) test. The result was unclear. Another test was abnormal, so he had a colonoscopy, during which two polyps were removed. These were not malignant.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 43
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He was fully informed, went into hospital for a “pre-operation check”, and was very impressed with members of the pilot scheme team.
In 2005 he had a Faecal Occult Blood (FOB) test, which was abnormal, so he had a colonoscopy, during which a polyp was found. Later he had a right hemi-colectomy and the polyp, which was found to be malignant, was removed.
Cancer
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Bowel screening
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People's views of the initial information leaflet
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People's views of the initial information leaflet
People's views of the initial information
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