FIT/FOBT vs colonoscopy

Many health systems use FIT/FOBT first, then colonoscopy if positive, to balance benefit, cost, and capacity.

FIT/FOBT

• Low cost, non-invasive, scalable.
• Needs repeating; can miss non-bleeding lesions.

Colonoscopy

• Higher cost; limited capacity.
• Diagnosis + treatment (polyp removal) in one test.
• Small procedural/sedation risk.