Clicky

Episode 219: Faecal calprotectin in the over-50s: Rule-out test or red flag?

Today, we’re speaking to Dr Rob Perry, who is a Gastroenterology Clinical Research Fellow based at Imperial College London.

Title of paper: Evaluating the Role of Faecal Calprotectin in Older Adults

Available at: https://doi.org/10.3399/BJGP.2025.0169

There is considerable uncertainty surrounding the use of FC as a diagnostic test in older adults, with varying suggestions in guidelines and a lack of data in the wider literature. This study investigates the performance of FC in older adults (≥50 years), compared to a younger cohort, with a view to guide its correct use in a primary care setting. These data suggest that FC is a sensitive test for IBD and organic gastrointestinal pathology in both groups. However, concerns remain over its PPV and specificity, particularly in older adults, and it should not be used if colorectal cancer is suspected.

Latest from Podcast