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Bending the Curve Trial by Trial
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Minnesota Colon Cancer Control Study: randomised trial of screening for fecal occult blood

N = 46,551

Population
Participants aged 50 to 80 years (Minnesota, United States).
Design
Randomised trial; 46,551 participants aged 50 to 80 were randomly assigned to screening once a year, screening every two years, or a control group. Screening used six guaiac-impregnated paper slides (two smears from each of three consecutive stools), about 83 percent of which were rehydrated; positive tests led to a diagnostic evaluation that included colonoscopy. Vital status was ascertained over 13 years in the 1993 report; the 2013 report extended follow-up to 30 years through the National Death Index.
Primary endpoint
Colorectal cancer mortality
Arms
  • Annual screening (experimental): Guaiac faecal occult-blood test once a year (about 83 percent of slides rehydrated)
  • Biennial screening (experimental): Guaiac faecal occult-blood test every two years (about 83 percent of slides rehydrated)
  • Control (control): No screening offered (usual care)
People
Mandel JS
Primary publication: Mandel JS, Bond JH, Church TR, Snover DC, Bradley GM, Schuman LM, et al. Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. N Engl J Med. 1993;328(19):1365-71. PubMedDOI

Appears in

Sources

  1. Mandel JS, Bond JH, Church TR, Snover DC, Bradley GM, Schuman LM, et al. Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. N Engl J Med. 1993;328(19):1365-71.

    PubMedDOI