Using a qFIT test

Information for patients from the Pathology Department

You have been referred to the hospital by your GP as you are having problems with your bowels. Any changes in bowel habit can be a sign of bowel cancer.

This leaflet explains what you need to do with the test enclosed with this leaflet. If you have any questions, please speak to your consultant.

What is a qFIT test?

qFIT stands for Quantitative Faecal Immunochemical Test. The test detects tiny amounts of blood in your stool (poo) that cannot be seen by the naked eye.

Why are we using qFIT?

Your GP has referred you to the hospital because you have symptoms that could show you have bowel cancer.

qFIT allows the hospital to assess people with bowel symptoms, without them having to come into hospital. It will show those that do not need further tests at this time because their risk of bowel cancer is very low.

What do I do?

The Colorectal team will send you a test kit in the post.

It is important that you follow the instructions and label the test tube with the following pieces of information.

  1. First name

  2. Surname

  3. Date of birth

  4. Date and time you did the test

If incorrectly labelled, the laboratory will reject the test.

You may wish to use a pair of disposable plastic gloves if available; but this is not essential.

There are easy to follow instructions on how to take a stool (poo) sample in this leaflet. Please complete the test at home as soon as possible after receiving it (Monday to Thursday only). Take the sample to your GP on the same day.

Women only: do not collect your stool (poo) sample during menstruation (your monthly period). This may give a false positive result and cause you unnecessary concern. Wait until after your period has finished to do the test, and please tell us the reason for the delay. You can contact us through the Cancer Care Line on 01227 868666.

What happens next?

Your GP will send your sample to the laboratory for testing. The team will receive the result of your test within two weeks. A member of the colorectal team will then write to you with your result. If you have not heard anything after three weeks, please contact your consultant who can chase the result.

If the result is:

  1. Very low (less than 10 μg / g) it is unlikely we will offer you any further tests, as we can say it is highly unlikely your symptoms are due to bowel cancer. However, if your symptoms persist, you may need to discuss this with your GP who can consider other possible causes of your symptoms.

  2. 10 μg / g or more the hospital consultant or their team will be in touch regarding further tests. This will depend on what is the most appropriate test for your symptoms. It is important to note that most people with a result of 10 μg / g or more do not have bowel cancer. However, it is a sign of blood in the stool (poo) and means that further tests are a sensible precaution.

How to collect your sample

Sample bottle with full name, date of birth, sex, and date and time of collection on label
Step 1: Correctly labelled sample bottle
  • Step 1

    Using a permanent pen such as a biro, label the outside of the sample bottle with your:

    • first name

    • surname

    • date of birth; and

    • the date and time you did the test.

Option A - diagram of a wide container. Option B - clean paper over the toilet opening, under the toilet seat.
Step 2: Options A and B
  • Step 2

    To prevent the stool (poo) sample from falling into the toilet either:

    • Option A

      Place a wide mouth container (clean empty plastic food container such as a margarine tub) in the toilet bowl; or

    • Option B

      Place clean newspaper over the toilet opening, under the seat (this might not be suitable for a runny sample).

Diagram of stool (poo) sample in container (left) or on paper (right).
Step 3: Stool sample in container or on paper
  • Step 3

    Pass the stool (poo) sample either into the container or onto the newspaper.

steps-4-&-5-1749040760.jpg
Steps 4 and 5: Opening the sample bottle and collecting a sample
  • Step 4

    Twist the cap anticlockwise to open the sample bottle.

    The plastic container contains liquid preservative - please do not pour this away.

  • Step 5

    Collect a sample by scraping the green stick along the poo until all the grooves are covered.

steps-6-and-8.jpg
Steps 6 and 8: Put stick back in the bottle and place in bag provided
  • Step 6

    Put the stick back in the bottle and ‘click’ the green cap to close it. Shake the bottle. Do not repeat the collection.

  • Step 7

    Wash your hands with soap and warm water for at least 20 seconds.

  • Step 8

    • Place the sample container in the bag provided.

    • Return the sample container to your GP in the bag provided on the same day. The request form should be in the outer pocket of the bag.

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