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Colon Cancer Screening Options: What's Right For You?

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Colonoscopy
UH Recommends
FIT-DNA (Cologuard©) Fecal Immunochemical Test (FIT)
Features
Identifies colon cancer? IntestinesMost effective MicroscopeTests stool for DNA and traces of blood associated with polyps and colon cancer. MicroscopeTests stool for blood and certain cancer markers.
Prevents colon cancer? YesYes, by removing polyps before they can turn into cancer. NoNo NoNo
Prep required FastingFasting and bowel cleanse with laxatives. FastingSome dietary restrictions No Food RestrictionsNo restrictions
Sedation used SedationYes, light sedation Not SedatedNo Not SedatedNo
Possibility of false positives? NoNo YesYes* YesYes*
Location test performed LocationHospital or surgery/endoscopy center HomeTest kit mailed to your home. Mail back when completed. HomePick up test at UH laboratory location. Mail back when completed.
Insurance coverage Money-HighAll major insurances Money-HighMost major insurances* Money-HighAll major insurances*
Risks Low RiskExtremely safe. Complications are rare, but can occur with polyp removal and anesthesia usage. No RiskNo No RiskNo
Appropriate for 40 Plus

40+ for people with a first degree relative who has been diagnosed with colorectal cancer

45+

45+ for people at average risk

45+45+ for people at average risk 45+45+ for people at average risk
Time between tests 10Years10 years with normal results. More frequently if high risk or polyps are found. 3 Years3 years with normal results 1 YearAnnually

*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.

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