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Table 3 Comparison of test positivity rates and recommended follow-up procedures based on CRC-446 (<0.23 ug/ml CAEs) and FIT.

From: Reduction of novel circulating long-chain fatty acids in colorectal cancer patients is independent of tumor burden and correlates with age

Age

Actual CRC-446 test positivity (% by decade) for SDCL controls (<0.23 ug/ml)

Theoretical CRC-446 positivity (incremental % by decade1) for SDCL controls (y = 0.65x-15.8)

Actual Bioserve CRC positivity (% by decade using <0.23 ug/ml)

Estimated follow-up colonoscopies per decade based on CRC-446 test3

Estimated follow-up colonoscopies per decade based on biennial FIT4

Expected incidence from initial 100,0006

CRC-446 test estimated CRC detections7

FIT test estimated detections8

<50

12.3

102

88.2

10,000

0

250

220

132

50-59

21.7

6.5

81.8

6,500

50,000

695

569

417

60-69

26.8

6.5

78.7

6,500

50,000

1684

1326

1010

70-79

32.3

6.5

85.3

6,500

50,000

2824

2409

1694

(Average) Total

  

(83.5)

30,000

150,000

5453

4523

3254

  1. 1Based on equation y = 0.65x-15.8 fitted to SDCL control data per decade falling below CRC-446 levels of 0.23 ug/ml.
  2. 2First CRC-446 test positivity (adjusted to mean of age 30 to 50).
  3. 3Note that number of positive CRC-446 tests is independent of testing frequency. Values shown are for per decade cumulative risk and assume all CRC-446 positive subjects have colonoscopy.
  4. 4Based on performing one FIT test every two years with 10% positivity rate (assuming all FIT positive subjects have colonoscopy).
  5. 6Based on the probability of developing cancer by decade of life (2009 Canadian Cancer Stats).
  6. 7Based on reported Bioserve CRC decade-specific positivity rates.
  7. 8Based on an average sensitivity of 60% per decade.