Fast Track Faecal Calprotectin

  • Research type

    Research Study

  • Full title

    Prospective Assessment of the Predictive Power of Faecal Calprotectin in Patients with Fast Track Colorectal Symptoms

  • IRAS ID

    156515

  • Contact name

    James Turvill

  • Contact email

    james.turvill@york.nhs.uk

  • Sponsor organisation

    York Foundation Trust R & D Unit

  • Research summary

    The aim of this study is to determine prospectively the negative and positive predictive power of faecal calprotectin for organic disease in new patients referred from primary care with fast track lower gastrointestinal symptoms. The predictive power of faecal calprotectin for patients with colorectal cancer will additionally be assessed. Should this prove to be a safe and effective test then this study would inform an NIHR application to re-model the current fast track and non fast track colorectal guidelines currently used in primary care. Currently the cancer detection rate in high risk patients is thought to be <10%. The diagnosis of organic disease amongst this cohort is likely to be considerably higher. The management of fast track referrals is nonetheless demanding on secondary care resource. If a safe effective mechanism of improving the risk stratification of symptomatic patients could be identified and actioned from the primary care level then considerable savings would accrue.

  • REC name

    East Midlands - Leicester South Research Ethics Committee

  • REC reference

    14/EM/0217

  • Date of REC Opinion

    21 May 2014

  • REC opinion

    Further Information Favourable Opinion