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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Shield

Shield

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #1

    Blood test for colon cancer.

    The FDA on Monday approved the test, called Shield, which can accurately detect tumors in the colon or rectum about 87% of the time when the cancer is in treatable early stages. The approval was announced Monday by the test's maker, Guardant Health, and comes just months after promising clinical trial results were published in The New England Journal of Medicine.

    Colorectal cancer is among the most common types of cancer diagnosed in the US each year, along with being one of the leading causes of cancer deaths. The condition is treatable in early stages, but about one in three people don't stay up to date on regular screenings, which should begin at age 45.

    The simplicity of a blood test could make it more likely for people to be screened for and, ultimately, survive the disease. Other primary screening options include feces-based tests or colonoscopy. The 5-year survival rate for colorectal cancer is 64%.

    While highly accurate at detecting DNA shed by tumors during treatable stages of colorectal cancer, the Shield test was not as effective at detecting precancerous areas of tissue, which are typically removed after being detected.

    In its news release, Guardant Health officials said they anticipate the test to be covered under Medicare. The out-of-pocket cost for people whose insurance does not cover the test has not yet been announced. The test is expected to be available by next week, The New York Times reported.

    If someone's Shield test comes back positive, the person would then get more tests to confirm the result. Shield was shown in trials to have a 10% false-positive rate.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • AxtremusA Away
      AxtremusA Away
      Axtremus
      wrote on last edited by
      #2

      Should be cheaper than colonoscopy, right?
      Would be silly for insurance to not cover this if this reduces cost compared to colonoscopy.

      1 Reply Last reply
      • MikM Away
        MikM Away
        Mik
        wrote on last edited by
        #3

        This was in testing when I was working for the Cologuard folks. I knew it would crush their cash cow.

        But it’s still no more accurate and just as prone to false positives.

        “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

        George KG 1 Reply Last reply
        • MikM Mik

          This was in testing when I was working for the Cologuard folks. I knew it would crush their cash cow.

          But it’s still no more accurate and just as prone to false positives.

          George KG Offline
          George KG Offline
          George K
          wrote on last edited by
          #4

          @Mik said in Shield:

          no more accurate and just as prone to false positives

          What are the accuracy and false positive rates for Cologuard?

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          MikM 1 Reply Last reply
          • jon-nycJ Offline
            jon-nycJ Offline
            jon-nyc
            wrote on last edited by
            #5

            I’ve got a cologuard kit here winking at me and reminder emails coming every few days.

            "You never know what worse luck your bad luck has saved you from."
            -Cormac McCarthy

            MikM 1 Reply Last reply
            • George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #6

              Last time I rode the black snake there were some polyps, so Cologuard and Shield are out of the question for me.

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              JollyJ 1 Reply Last reply
              • jon-nycJ jon-nyc

                I’ve got a cologuard kit here winking at me and reminder emails coming every few days.

                MikM Away
                MikM Away
                Mik
                wrote on last edited by
                #7

                @jon-nyc said in Shield:

                I’ve got a cologuard kit here winking at me and reminder emails coming every few days.

                Me too. It’s easy, just… unpleasant is not the word I’m looking for..no fun.

                “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                1 Reply Last reply
                • George KG George K

                  @Mik said in Shield:

                  no more accurate and just as prone to false positives

                  What are the accuracy and false positive rates for Cologuard?

                  MikM Away
                  MikM Away
                  Mik
                  wrote on last edited by
                  #8

                  @George-K said in Shield:

                  @Mik said in Shield:

                  no more accurate and just as prone to false positives

                  What are the accuracy and false positive rates for Cologuard?

                  About the same.

                  “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                  George KG 1 Reply Last reply
                  • MikM Mik

                    @George-K said in Shield:

                    @Mik said in Shield:

                    no more accurate and just as prone to false positives

                    What are the accuracy and false positive rates for Cologuard?

                    About the same.

                    George KG Offline
                    George KG Offline
                    George K
                    wrote on last edited by
                    #9

                    @Mik said in Shield:

                    About the same.

                    Sorry, I looked at the article again - 87% accuracy and 10% false positive.

                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                    1 Reply Last reply
                    • MikM Away
                      MikM Away
                      Mik
                      wrote on last edited by
                      #10

                      Cologuard detects 92% of cancers and has a 13 % false positive.

                      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                      George KG 1 Reply Last reply
                      • MikM Mik

                        Cologuard detects 92% of cancers and has a 13 % false positive.

                        George KG Offline
                        George KG Offline
                        George K
                        wrote on last edited by
                        #11

                        @Mik said in Shield:

                        Cologuard detects 92% of cancers and has a 13 % false positive.

                        So about 1 out of 8 need to have a colonoscopy for followup.

                        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                        1 Reply Last reply
                        • George KG George K

                          Last time I rode the black snake there were some polyps, so Cologuard and Shield are out of the question for me.

                          JollyJ Offline
                          JollyJ Offline
                          Jolly
                          wrote on last edited by
                          #12

                          @George-K said in Shield:

                          Last time I rode the black snake there were some polyps, so Cologuard and Shield are out of the question for me.

                          Yep.

                          “Cry havoc and let slip the DOGE of war!”

                          Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

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