Diagnostic Performance of Stool-based Testing for Colorectal Lesions Among Average-risk Individuals

Objective: We assessed the real-world performance of stool-based tests (SBTs) for colorectal cancer screening. Materials and Methods: Retrospective review of average-risk individuals with positive SBT for advanced neoplasia (adenocarcinoma, advanced adenoma, and/or advanced serrated lesions) detection at follow-up colonoscopy. Results: There was no statistical difference in the detection of advanced neoplasia ( P = 0.16) between SBTs [30.7% for multitargeted stool DNA (mt-sDNA) vs 22.8% for fecal immunochemical test]. However, there was a significant difference in the detection of advanced serrated lesions (11.3% for mt-sDNA vs 1.8% for fecal immunochemical test, P < 0.001). Conclusion: There was no difference between SBTs for advanced neoplasia detection, though mt-sDNA detected significantly more advanced serrated lesions.