To scope or not - the challenges of managing patients with positive fecal occult blood test after recent colonoscopy

Table 1 Patient demographics and current colonoscopy findings

n = 1051	Previous colonoscopy = Yes, n = 319 (30.4%)	Previous colonoscopy = No/unknown, n = 732 (69.6%)	P value
Sex
Male	174 (54.5%)	389 (53.1%)	0.68
Age
50-64	151 (47.3%)	438 (59.8%)	< 0.001
65 +	168 (52.7%)	294 (40.2%)
Median age	65 (range 50-75)	62 (range 50-75)	< 0.001
Family history of CRC
Yes	52 (16.3%)	56 (7.7%)	< 0.001
Symptomatic
Any symptoms	149 (46.7%)	258 (35.2%)	< 0.001
Rectal bleeding	66 (20.7%)	112 (15.3%)	0.03
Change in bowel pattern	65 (20.4%)	116 (15.8%)	0.09
Abdominal pain	35 (11%)	46 (6.3%)	0.014
Weight loss	11 (3.4%)	34 (4.6%)	0.28
Anemia	19 (6.0%)	40 (5.5%)	0.75
Current colonoscopy bowel preparation
Good/excellent	204 (63.9%)	532 (72.7%)	0.014
Poor	23 (7.2%)	46 (6.3%)
Complete colonoscopy	311 (97.5%)	715 (97.7%)	0.42
CRC detected	4 (1.3%)	38 (5.2%)	0.003
A-SSL detected	146 (45.8%)	367 (50.1%)	0.19
AA-SSL detected	57 (17.8%)	200 (27.3%)	0.002
Advanced neoplasia	60 (18.8%)	221 (30.2%)	< 0.001

CRC: Colorectal cancer; A-SSL: Adenoma/sessile serrated lesion; AA-SSL: Advanced adenoma/sessile serrated lesion.