Screening Options | Colonoscopy UH Recommends |
FIT-DNA (Cologuard©) | Fecal Immunochemical Test (FIT) |
---|---|---|---|
Features | |||
Identifies colon cancer? | Most effective | Tests stool for DNA and traces of blood associated with polyps and colon cancer. | Tests stool for blood and certain cancer markers. |
Prevents colon cancer? | Yes, by removing polyps before they can turn into cancer. | No | No |
Prep required | Fasting and bowel cleanse with laxatives. | Some dietary restrictions | No restrictions |
Sedation used | Yes, light sedation | No | No |
Possibility of false positives? | No | Yes* | Yes* |
Location test performed | Hospital or surgery/endoscopy center | Test kit mailed to your home. Mail back when completed. | Pick up test at UH laboratory location. Mail back when completed. |
Insurance coverage | All major insurances | Most major insurances* | All major insurances* |
Risks | Extremely safe. Complications are rare, but can occur with polyp removal and anesthesia usage. | No | No |
Appropriate for |
40+ for people with a first degree relative who has been diagnosed with colorectal cancer 45+ for people at average risk |
45+ for people at average risk | 45+ for people at average risk |
Time between tests | 10 years with normal results. More frequently if high risk or polyps are found. | 3 years with normal results | Annually |
Colon Cancer Screening Options: What's Right For You?
June 06, 2021
*If test results are positive, a diagnostic colonoscopy will be required to confirm or rule out cancer. This may or may not be covered by insurance and result in additional out-of-pocket expenses.