FIT for purpose: personalised surveillance colonoscopy for people at increased risk of colorectal cancer.

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Bowel cancer is a very common cancer in Australia. The best prevention strategy for people at increased risk of this disease is regular colonoscopies (every 3-5 years), however these are associated with risks, and places a large burden on limited healthcare resources. The majority of people do not need such intensive surveillance. Our proposal will test a novel way to reduce the frequency of colonoscopies needed through a personalised risk-assessment strategy using faecal occult blood tests.