TH3.1 Implementation of a home finger-prick CEA test for follow-up of colorectal cancer - a pilot study of patient perspectives

Abstract Aim NICE guidance advocates 6 monthly CEA blood testing following curative colorectal resection. This usually takes place through face to appointments with a phlebotomist, associated monetary and resource cost local services, as well impacting on patient lives. project piloted use of self-taken finger-prick tests in this population, assess feasibility, perspectives preferences. Methods During outpatient clinics, patients undergoing surveillance primary care were offered postal assessment. Recruitment stopped once 50 had been recruited. Recruited sent kits pre-paid return packaging. Follow-up questionnaires undertaken future Results 67.6% (50/74) eligible agreed participate. 76.0% (38/50) successfully completed 46.8% (22/47) felt they would prefer rather than phlebotomy for testing, whilst 19.1% (9/47) no preference. 38.3% (18/47) was worse their previous experience. No significant differences preference existed between aged <65 65+. Qualitative data showed difficulties pain, discomfort sample collection. Patients that samples convenient easier fit Conclusions Whilst some assessment, there are numbers whom it is challenging, unnecessary or less preferable. Finger-prick may represent strategy reducing burden follow-up resources, but currently be acceptable only limited groups.