Please feel free to either copy and paste the template below, or you can download it at the link below.
Let me know if you have any updates or corrections.
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Patient prefers cologuard testing at this time
The following was discussed with the patient:
Cologuard facts about testing:
Sensitivity (true positive rate): This is the proportion of positive test results with those that have disease, the sensitivity of cologuard is per the stage of cancer:
—-stage 1: 90% (meaning it misses 10% of those that are positive with disease)
—stage 2: 100% (can accurately catch all disease at this stage)
— Stage 3: 90% (misses 10% of those that actually have CRC)
— Stage 4 75% (misses 25% of those that actually have CRC)
Specificity (true negative rate): 87% overall specific. Meaning, this test can miss read and have false positives 13% of the time.
This information was discussed in detail with the patient and it was stated that I do recommend colonoscopy over cologuard for general screening of colon cancer.
It was also stated by me that if the patient has a positive cologuard they need to get a colonoscopy
I also mentioned that the above information means that they could have a false negative at the rates above, and also could have a false positive at the rates above.
Patient would prefer to move forward with cologuard testing
This information was taken from the cologuard site at the following link: https://www.cologuardhcp.com/about/clinical-offer#:~:text=Cologuard%20sensitivity%2C%20per%20stage%20of,%25%20(n%3D4).&text=Cologuard%20specificity%3A%2087%25%20overall%20specificity,and%20negative%20results%20on%20colonoscopy.
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