An Easy-to-Use Blue Brush

May Save Your Life

BrochurePrint the InSure® FIT™ Patient Education Pamplet to bring to your physician and Request The Test.

Patient FAQs

I know the screening test is important. Why should I take this test? And… why now?

American Cancer Society guidelines recommend yearly FIT or FOBT tests for people at least 50 years of age at average risk, as one of the recommended screening options.1,2

  • Colorectal cancer is the second leading cause of cancer death in the U.S., yet one of the few cancers that is largely curable if detected in the early stages and can even be prevented in some cases by removing polyps.
  • When colorectal cancers are detected at an early stage, the five-year survival is 90%; however, only 39% of colorectal cancers are diagnosed at this stage.

According to the United States Centers for Disease Control and Prevention (CDC), up to 60% of deaths from colorectal cancer could be avoided if people over 50 received the recommended screening tests.3
An FOBT done during a digital rectal exam in the doctor’s office is not sufficient for screening and is not recommended by American Cancer Society guidelines. If your doctor performs a DRE, you should ask him or her about the InSure® FIT™ test.

Are FITs (fecal immunochemical tests) effective for detecting colorectal cancer?

The InSure® FIT™ test has demonstrated an 87% sensitivity for colorectal cancer.5,6  FIT tests are one of the screening options recommended by the guidelines from the American Cancer Society.

What do specificity and sensitivity mean?

Sensitivity is a measure of the ability of a test to find the disease when it is present. A highly specific test is one that rarely indicates abnormality when no abnormality is present.

Where can I get an InSure® FIT™ screening test?
You can get the InSure® FIT™ test for colorectal cancer from your Doctor.
Are the InSure® FIT™ tests covered by my insurance?

Colorectal cancer screening tests are covered by most insurance plans. For more information, review your health insurance policy or discuss with your health insurance provider. 

Will I need to follow a special diet in order to use the InSure® FIT™ test?

No. You do not need to change your diet in any way before using the InSure® FIT™ test. Unlike traditional guaiac-based FOBTs, you don’t need to avoid any foods before using this test.

Will I need to follow a special medication routine, or change my current medications, in order to use the InSure® FIT™ screening test?

No. Unlike the traditional guaiac-based take-home FOBTs, you do not need to change any medications or medication routines.

Will I have to handle my stool when using the InSure® FIT™ screening test?

No! The InSure® FIT™ test with the patented long-handled blue brush, allow you to perform the screening test with no fecal handling or smearing. After each of two different bowel movements, use the patented long handled blue brush to gently brush the surface of the stool in water for about 5 seconds, and then dab it onto the test card.  We call this the Blue Brush Method!

Why will I need to provide two samples?

Because colorectal conditions may not bleed all the time, or blood may not be uniformly distributed in the stool, multiple sample FOBT or FIT take-home tests are recommended by the American Cancer Society (ACS) as one of the screening options. A single FOBT done during a digital rectal exam in the doctor’s office is not sufficient for screening and is not recommended by the ACS.  The InSure® FIT™  test requires one sample from two different bowel movements.

How is the InSure® FIT™ screening test different from traditional guaiac-based fecal occult blood tests (FOBTs)?

With the InSure® FIT™  test, the sampling procedure is more user-friendly. Unlike traditional guaiac-based FOBTs and some other FIT tests, the patented InSure® FIT™ brush requires no fecal handling, and requires only two samples. Because InSure® FIT™ test detect human hemoglobin from blood, there are no drug or dietary restrictions required to complete the test.

How is the InSure® FIT™ test different from a stool DNA (sDNA) test?

Unlike the InSure® FIT™ test, stool DNA tests require patients to pack an entire bowel movement in a kit and send the sample to a laboratory for testing. InSure® FIT™ tests are more convenient and easier-to-use than sDNA tests because of their unique Blue Brush Method for sample collection. After each of two different bowel movements, the patient uses the patented long-handled blue brush to gently brush the surface of the stool in water for about 5 seconds, and then dab it onto the test card. 

Should I use the InSure® FIT™ test if I see blood in the toilet bowl?

No. You should not use InSure® FIT™  test if you see blood in the toilet bowl. If you see blood in the toilet bowl, you should immediately consult your physician.

Should I use the InSure® FIT™ screening test if I have hemorrhoids that are bleeding?

No. You should not use the InSure® FIT™ test if you have any hemorrhoids that are actively bleeding. Because the InSure® FIT™  screening test detects blood in and around the stool, active bleeding from hemorrhoids could provide a false positive test result.

Can I do the test if I am menstruating?

No. You should not perform the test three days before, during, or three days after your menstrual period.  Because the InSure® FIT™  screening test detects blood in and around the stool, active bleeding from menstruation could provide a false positive test result.

Can I do the test if someone in my house is menstruating?

You can perform the test if someone else in the house is menstruating, provided that you flush the toilet before beginning your sample collection process.

Does a positive result mean I have cancer?

Not necessarily. A positive test only indicates that blood was detected in the samples collected. This blood may be from conditions other than colorectal cancer. If you have a positive result, we strongly urge you to discuss the findings with your physician to establish the source of the bleeding and determine treatment, if appropriate.  In general, a further test of the colon and rectum (such as a colonoscopy) may be required.


References:

  1. American Cancer Society. Colorectal Cancer Screening Guidelines. Accessed February 4, 2008.
  2. U.S. Preventive Services Task Force. Screening for Colorectal Cancer: Recommendations and Rationale. July 2002. Agency for Healthcare Research and Quality, Rockville, MD.
  3. Centers for Disease Control and Prevention. Colorectal Cancer: Screening Rates. http://www.cdc.gov/cancer/colorectal/statistics/screening_rates.htm
  4. American Cancer Society. Detailed Guide: Colon and Rectum Cancer - What Are the Risk Factors for Colorectal Cancer?
  5. InSure® FIT™ product inserts
  6. Smith A, Young GP, Cole SR, et al. Comparison of a brush-sampling fecal immunochemical test for hemoglobin with a sensitive guaiac-based fecal occult blood test in detection of colorectal neoplasia. Cancer. 2006;107:2152-2159.  The study was funded in part by Enterix Inc. (through Enterix Australia Pty. Ltd), the manufacturer of InSure® FIT™ .  Enterix is now owned by Quest Diagnostics Incorporated.  However, neither Enterix nor Quest Diagnostics participated in the data analysis or influence the conclusions reached by the authors.  One of the authors, GP Young, is a consultant for Enterix Australia Pty. Ltd.