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Annual faecal immunochemical testing, with colonoscopy in positive cases, was generally acceptable to patients and would be cost-saving compared to three-yearly colonoscopy, although it has lower sensitivity, resulting in missed lesions.

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Wendy Atkin 1,*,, Amanda J Cross 1,*, Ines Kralj-Hans 1, Eilidh MacRae 1, Carolyn Piggott 2, Sheena Pearson 2, Kate Wooldrage 1, Jeremy Brown 1, Fiona Lucas 1, Aaron Prendergast 1, Natalie Marchevsky 1, Bhavita Patel 1, Kevin Pack 1, Rosemary Howe 1, Hanna Skrobanski 3, Robert Kerrison 3, Nicholas Swart 4, Julia Snowball 2, Stephen W Duffy 5, Stephen Morris 4, Christian von Wagner 3, Stephen Halloran 2

1 Cancer Screening and Prevention Research Group, Department of Surgery and Cancer, Imperial College London, London, UK
2 Bowel Cancer Screening Programme Southern Hub, Guildford, UK
3 Research Department of Behavioural Science and Health, University College London, London, UK
4 Department of Applied Health Research, University College London, London, UK
5 Centre for Cancer Prevention, Wolfson Institute of Preventative Medicine, Queen Mary University, London, UK
* Corresponding author Email: amanda.cross@imperial.ac.uk

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