Implementation of colorectal cancer screening in Spain: main results 2006-2011

被引:21
作者
Salas Trejo, Dolores [1 ,2 ]
Portillo Villares, Isabel [4 ]
Pinol, Josep A. Espinas [3 ]
Ibanez Cabanell, Josefa [1 ,2 ]
Vanaclocha Espi, Mercedes [2 ]
Perez Riquelme, Francisco [5 ]
De la Vega Prieto, Mariola [6 ]
de Aledo Linos, Alvaro Gonzalez [7 ]
Idigoras Rubio, Isabel [4 ]
Sacristan Terroba, Begona [8 ]
Lopez Garcia, Rosa [9 ]
Romero Hergueta, Carmen [10 ]
机构
[1] Hlth Reg Minist Valencian Community, Publ Hlth, Valencia, Spain
[2] Hlth Reg Minist Valencian Community, Fdn Promot Hlth & Biomed Res FISABIO Publ Hlth, Valencia, Spain
[3] Hlth Reg Minist Catalonia, Catalan Inst Oncol, Oncol Plan, Barcelona, Spain
[4] Hlth Reg Minist Basque Country, Osakidetza, Bilbao, Spain
[5] Hlth Reg Minist Murcia, Publ Hlth, Murcia, Spain
[6] Hlth Reg Minist Canary Isl, Canary Isl Hlth Serv, Gen Assistance Programs, Santa Cruz De Tenerife, Spain
[7] Hlth Reg Minist Cantabria, Publ Hlth, Santander, Spain
[8] Hlth Reg Minist La Rioja, Rioja Hlth, Hlth Area La Rioja, Logrono, Spain
[9] Hlth Reg Minist Extremadura, Extremadura Hlth Serv, Publ Hlth, Merida, Spain
[10] Hlth Reg Minist Castile Leon, Publ Hlth, Valladolid, Spain
关键词
colorectal cancer; evaluation; sex differences; quality indicators; screening; OCCULT BLOOD-TEST; EUROPEAN GUIDELINES; QUALITY-ASSURANCE; PROGRAM; POPULATION; PERFORMANCE; SEX; AGE; COLONOSCOPY; PREVALENCE;
D O I
10.1097/CEJ.0000000000000232
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The Spanish Cancer Screening Network involves the participation of all regional programmes and has been working for over 20 years to co-ordinate strategies and implement quality assurance in current and new regional programmes. In colorectal cancer, the target population is the group aged 50-69 years, who are offered biennial testing using the faecal occult blood test in all programmes, with follow-up colonoscopy if the faecal occult blood test is positive. This article presents the main trends, indicators and differences by sex. The main indicators from 2006 to 2011 were analysed: coverage, participation rate, positivity rate, colonoscopy uptake and lesions detected. Annual trends were adjusted by sex and region. In 2011, coverage was 9.74% of the Spanish target population. A total of 1 001 669 first invitations were registered from 2006 to 2011 and 596 649 individuals participated in the programmes (43.83% participation rate). Results were positive in 30 544 individuals (5.47%), with the lowest positivity rate occurring in 2007 (3.06%) and the highest in 2011 (6.30%) (P < 0.001). In all, 27 568 colonoscopies were registered, with a high compliance rate (90.00% in 2011 and 95.59% in 2007) (P = 0.381). The adenoma and colorectal cancer detection rates increased over the period, reaching 32.25/1000 and 3.42/1000 participants in 2011, respectively (P < 0.001 and P = 0.001). Comparison of differences by sex showed that detection rates were significantly higher in men than in women (P < 0.001). Participation increased over time and has now reached an acceptable rate. Men show low participation but higher detection rates, indicating the need for further intervention. The Spanish Cancer Screening Network provides common evaluation, performance and organizational benchmarking. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:17 / 26
页数:10
相关论文
共 38 条
[1]   Cancer screening in Spain [J].
Ascunce, N. ;
Salas, D. ;
Zubizarreta, R. ;
Almazan, R. ;
Ibanez, J. ;
Ederra, M. .
ANNALS OF ONCOLOGY, 2010, 21 :iii43-iii51
[2]   Breast cancer screening: characteristics and results of the Spanish programs [J].
Ascunce, Nieves ;
Delfrade, Josu ;
Salas, Dolores ;
Zubizarreta, Raquel ;
Ederra, Maria .
MEDICINA CLINICA, 2013, 141 (01) :13-23
[3]   Five-year experience of organized colorectal cancer screening in a Swedish population - increased compliance with age, female gender, and subsequent screening round [J].
Blom, Johannes ;
Inen, Sini Kilpela ;
Hultcrantz, Rolf ;
Tornberg, Sven .
JOURNAL OF MEDICAL SCREENING, 2014, 21 (03) :144-150
[4]   Effect of screening sigmoidoscopy and screening colonoscopy on colorectal cancer incidence and mortality: systematic review and meta-analysis of randomised controlled trials and observational studies [J].
Brenner, Hermann ;
Stock, Christian ;
Hoffmeister, Michael .
BMJ-BRITISH MEDICAL JOURNAL, 2014, 348
[5]   Comparison of Uptake of Colorectal Cancer Screening Based on Fecal Immunochemical Testing (FIT) in Males and Females: A Systematic Review and Meta-analysis [J].
Clarke, Nicholas ;
Sharp, Linda ;
Osborne, Aoife ;
Kearney, Patricia M. .
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2015, 24 (01) :39-47
[6]   The Alliance for the Prevention of Colorectal Cancer in Spain. A civil commitment to society [J].
Diego Morillas, Juan ;
Castells, Antoni ;
Oriol, Isabel ;
Pastor, Ana ;
Perez-Segura, Pedro ;
Manuel Echevarria, Jose ;
Caballero, Begoria ;
Gonzalez-Navarro, Andres ;
Bandres, Fernando ;
Brullet, Enric ;
Iniesta, Antonio ;
Carballo, Fernando ;
Bouzas, Rosa ;
Ariza, Aurelio ;
Ibisate, Alfredo ;
Garcia-Alfonso, Pilar ;
Escudero, Beatriz ;
Camacho, Silvia ;
Fernandez-Marcos, Ana ;
Gonzalez, Teresa ;
Quintero, Enrique ;
Lanas, Angel ;
Marzo, Merce ;
Mascort, Juanjo ;
Andreu, Monserrat ;
Cerezo, Laura ;
Vazquez-Sequeiros, Enrique ;
Maria Borras, Josep ;
Salas, Dolores ;
Ascunce, Nieves ;
Portillo, Isabel ;
Herraiz, Mayte ;
Luisa Valle, Maria ;
Sotoca, Amalia ;
Nieto, Santiago ;
Hue, Carlos ;
Paz-Ares, Luis .
GASTROENTEROLOGIA Y HEPATOLOGIA, 2012, 35 (03) :109-128
[7]   Use of a faecal immunochemical test narrows current gaps in uptake for sex, age and deprivation in a bowel cancer screening programme [J].
Digby, Jayne ;
McDonald, Paula J. ;
Strachan, Judith A. ;
Libby, Gillian ;
Steele, Robert J. C. ;
Fraser, Callum G. .
JOURNAL OF MEDICAL SCREENING, 2013, 20 (02) :80-85
[8]  
Edge S.B., 2010, AJCC cancer staging manual, V649
[9]   Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012 [J].
Ferlay, Jacques ;
Soerjomataram, Isabelle ;
Dikshit, Rajesh ;
Eser, Sultan ;
Mathers, Colin ;
Rebelo, Marise ;
Parkin, Donald Maxwell ;
Forman, David ;
Bray, Freddie .
INTERNATIONAL JOURNAL OF CANCER, 2015, 136 (05) :E359-E386
[10]   Sex-Specific Prevalence of Adenomas, Advanced Adenomas, and Colorectal Cancer in Individuals Undergoing Screening Colonoscopy [J].
Ferlitsch, Monika ;
Reinhart, Karoline ;
Pramhas, Sibylle ;
Wiener, Caspar ;
Gal, Orsolya ;
Bannert, Christina ;
Hassler, Michaela ;
Kozbial, Karin ;
Dunkler, Daniela ;
Trauner, Michael ;
Weiss, Werner .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2011, 306 (12) :1352-1358