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Correspondence
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Volume 334:1607-1608 June 13, 1996 Number 24
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Improving the Fecal Occult-Blood Test

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 by Mandel, J. S.
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 by Allison, J. E.
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To the Editor: My colleagues and I reported (Jan. 18 issue) that HemeSelect and a combination test in which HemeSelect is used to confirm positive Hemoccult II Sensa results are an improvement over Hemoccult II in screening patients for colorectal carcinoma.1 In their accompanying editorial, Ransohoff and Lang2 limited their endorsement of the combination test, because they misinterpreted our methods and did not recognize that our study was conducted in a setting of routine patient care, not in a clinical-trial setting. Fecal occult-blood testing has been a part of the Kaiser Permanente personal- health appraisal since the late 1970s.

We . . . [Full Text of this Article]

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