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@ARTICLE{Gies:141131,
author = {A. Gies$^*$ and K. Cuk$^*$ and P. Schrotz-King$^*$ and H.
Brenner$^*$},
title = {{F}ecal immunochemical test for hemoglobin in combination
with fecal transferrin in colorectal cancer screening.},
journal = {United european gastroenterology journal},
volume = {6},
number = {8},
issn = {2050-6414},
address = {London},
publisher = {Sage},
reportid = {DKFZ-2018-01662},
pages = {1223 - 1231},
year = {2018},
abstract = {Fecal transferrin has been suggested as a complementary or
even superior marker for early detection of colorectal
cancer (CRC) besides fecal hemoglobin. We aimed to evaluate
both markers individually and in combination in a large
cohort of participants of screening
colonoscopy.Precolonoscopy stool samples were obtained from
participants of screening colonoscopy and frozen at -80℃
until blinded analysis, using a dual-quantitative fecal
immunochemical test (FIT) for hemoglobin and transferrin.
Sensitivity, specificity and area under the curve (AUC) were
calculated for CRC and advanced adenoma (AA).A total of 1667
participants fulfilled our inclusion criteria. All
individuals with advanced neoplasm (AN) (16 CRC, 200 AA) and
300 randomly selected participants without AN were included.
Mean age was 63 years and $56\%$ were male. The AUC for CRC
and AA was $92\%$ and $68\%,$ respectively, for hemoglobin
vs. $79\%$ and $58\%,$ respectively for transferrin.
Combination of both markers yielded an AUC for CRC and AA of
$92\%$ and $68\%,$ respectively.FIT for hemoglobin shows
better diagnostic performance than FIT for transferrin for
the detection of ANs (both proximal and distal neoplasms),
and a combination of both markers does not improve the
diagnostic performance.},
cin = {C070 / G110 / L101},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)G110-20160331 /
I:(DE-He78)L101-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30288285},
pmc = {pmc:PMC6169043},
doi = {10.1177/2050640618784053},
url = {https://inrepo02.dkfz.de/record/141131},
}