Health and Me

Ishita Roy

NHS England Lowers Threshold Of Bowel Cancer Screening

<span>Cancer screening</span> for UK's second deadliest cancer is undergoing some changes, as NHS UK lowers the threshold of bowel cancer test. What it means is that NHS England is lowering the threshold of the amount of blood detected through a Fit or Fecal immunochemical test, needed to trigger the patient being sent for further investigation. 

The fecal immunochemical test is used to detect bowel cancer by spotting blood in the patient's stool. As per the new NHS guidelines, the sensitivity of the Fit test will be increase as part of an overhaul of cancer diagnosis as well as treatment. 

As of now, it stands at 120 micrograms of blood a gram of stool, however, it will be reduced to 80 microgram by 2028. This will bring England into line with threshold that are already followed in Scotland and Wales. 

“This is a major step forward in bowel cancer detection and will help save hundreds more lives from this devastating disease,” said Prof Peter Johnson, NHS England’s national clinical director for cancer. “Testing at a lower level threshold will now provide a better early warning system for bowel cancer, helping us to spot and treat cancers earlier, often picking up problems before symptoms occur," as reported by The Guardian. 

Around 44,100 people in the UK are diagnosed with bowel cancer each year, and about 17,400 die from the disease, making it the second leading cause of cancer deaths. Risk factors include processed meat consumption, excess weight and alcohol use. Cancer Research UK estimates that 54 percent of cases could be prevented. “Once fully implemented testing at the lower level threshold is expected to reduce late stage diagnoses and deaths from bowel cancer by around 6%,” NHS England said.

Read: <a href="https://www.healthandme.com/health-news/colorectal-cancer-is-the-leading-cause-of-cancer-death-in-american-men-under-50-article-153491318" data-type="tilCustomLink">Colorectal Cancer Is The Leading Cause Of Cancer Death In American Men Under 50</a> 

The estimate suggests that improving prevention and earlier detection could save the health service £32 million each year. The change is expected to result in around 600 additional bowel cancer diagnoses annually in England, an 11 percent rise on top of the 5,320 cases currently identified each year through the existing test.

Under the changes, the NHS is expected to carry out 35 percent more colonoscopies for patients flagged as high risk by the Fit test. Introduced in 2019, the Fit test is a home screening programme in which eligible people receive a kit by post, return a small stool sample, and have it analyzed in a laboratory.

The expansion will be detailed in the government’s new national cancer plan, set to be launched on 4 February, which cancer groups observe as World Cancer Day. In England, eligibility was widened in 2024 to include people aged 50 to 53, down from the earlier range of 54 to 74. During 2023–24, nearly seven million kits were sent out, with 68 percent returned, leading to the detection of 5,320 cancers. With the broader age criteria, an additional 1.2 million people are now being offered the test.

The Cancer Council notes that bowel cancer is also called the colorectal cancer, colon cancer or rectal cancer, which develops in the inner lining of the bowel. It is preceded by growths called polyps, which could become invasive cancer if undetected.

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Cancer screening for UK's second deadliest cancer is undergoing some changes, as NHS UK lowers the threshold of bowel cancer test. What it means is that NHS England is lowering the threshold of the amount of blood detected through a Fit or Fecal immunochemical test, needed to trigger the patient being sent for further investigation. What Is the Fit Test?The fecal immunochemical test is used to detect bowel cancer by spotting blood in the patient's stool. As per the new NHS guidelines, the sensitivity of the Fit test will be increase as part of an overhaul of cancer diagnosis as well as treatment. As of now, it stands at 120 micrograms of blood a gram of stool, however, it will be reduced to 80 microgram by 2028. This will bring England into line with threshold that are already followed in Scotland and Wales. “This is a major step forward in bowel cancer detection and will help save hundreds more lives from this devastating disease,” said Prof Peter Johnson, NHS England’s national clinical director for cancer. “Testing at a lower level threshold will now provide a better early warning system for bowel cancer, helping us to spot and treat cancers earlier, often picking up problems before symptoms occur," as reported by The Guardian. Bowel Cancer In The UKAround 44,100 people in the UK are diagnosed with bowel cancer each year, and about 17,400 die from the disease, making it the second leading cause of cancer deaths. Risk factors include processed meat consumption, excess weight and alcohol use. Cancer Research UK estimates that 54 percent of cases could be prevented. “Once fully implemented testing at the lower level threshold is expected to reduce late stage diagnoses and deaths from bowel cancer by around 6%,” NHS England said.Read: Colorectal Cancer Is The Leading Cause Of Cancer Death In American Men Under 50 The estimate suggests that improving prevention and earlier detection could save the health service £32 million each year. The change is expected to result in around 600 additional bowel cancer diagnoses annually in England, an 11 percent rise on top of the 5,320 cases currently identified each year through the existing test.Under the changes, the NHS is expected to carry out 35 percent more colonoscopies for patients flagged as high risk by the Fit test. Introduced in 2019, the Fit test is a home screening programme in which eligible people receive a kit by post, return a small stool sample, and have it analyzed in a laboratory.The expansion will be detailed in the government’s new national cancer plan, set to be launched on 4 February, which cancer groups observe as World Cancer Day. In England, eligibility was widened in 2024 to include people aged 50 to 53, down from the earlier range of 54 to 74. During 2023–24, nearly seven million kits were sent out, with 68 percent returned, leading to the detection of 5,320 cancers. With the broader age criteria, an additional 1.2 million people are now being offered the test.What Is Bowel Cancer?The Cancer Council notes that bowel cancer is also called the colorectal cancer, colon cancer or rectal cancer, which develops in the inner lining of the bowel. It is preceded by growths called polyps, which could become invasive cancer if undetected.