A population-based estimate of the extent of colorectal cancer screening in Ontario

被引:64
|
作者
Rabeneck, L
Paszat, LF
机构
[1] Inst Clin Evaluat Sci, Toronto, ON, Canada
[2] Univ Toronto, Dept Med, Toronto, ON, Canada
[3] Univ Toronto, Dept Radiat Oncol, Toronto, ON, Canada
来源
AMERICAN JOURNAL OF GASTROENTEROLOGY | 2004年 / 99卷 / 06期
关键词
D O I
10.1111/j.1572-0241.2004.30623.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUND/OBJECTIVE: The incidence and mortality rates for colorectal cancer (CRC) in Canada are among the highest in the world. For individuals greater than or equal to50 yr, CRC screening is effective in reducing both CRC incidence and mortality. The goal of this research was to conduct a Canadian population-based study of the use of tests and procedures to evaluate the large bowel to estimate the extent of CRC screening. METHODS: We identified an inception cohort of all residents of Ontario aged 50-59 on January 1, 1995, without a previous history of CRC or large-bowel evaluation by five tests or procedures: fecal occult blood test (FOBT), barium enema, rigid sigmoidoscopy, flexible sigmoidoscopy, and colonoscopy. We followed these individuals to December 31, 2000, identified all tests received, and determined the proportion that received one or more tests or procedures of each type. Data were obtained from three sources: the Ontario Health Insurance Plan (OHIP) database, the Canadian Institute for Health Information-Discharge Abstract Database (CIHI-DAD), and the Registered Persons Database (RPDB). RESULTS: We identified 982,443 individuals in our inception cohort without prior CRC or large bowel evaluation. The proportion that had at least one test or procedure was less than 10% for each type. The largest proportion (9.3%) had one or more FOBTs. Classified according to the initial test received, 14.5% had a non-endoscopic test (FOBT, barium enema) and 6% had an endoscopic test (rigid sigmoidoscopy, flexible sigmoidoscopy, colonoscopy). The majority (79.5%) had no test or procedure to evaluate the large bowel. CONCLUSION: An extraordinarily low proportion (<20.5%) of screen-eligible 50-59-yr-old men and women in Ontario were screened for CRC during a 6-yr follow-up. Given the high burden of CRC in Canada a major opportunity exists to improve the health of Canadians by increasing our screening efforts.
引用
收藏
页码:1141 / 1144
页数:4
相关论文
共 50 条
  • [21] Increasing uptake of colorectal cancer screening in Korea: a population-based study
    Kui Son Choi
    Jae Kwan Jun
    Hoo-Yeon Lee
    Myung-Il Hahm
    Jae Hwan Oh
    Eun-Cheol Park
    BMC Public Health, 10
  • [22] Population-based programs for increasing colorectal cancer screening in the United States
    Verma, Manisha
    Sarfaty, Mona
    Brooks, Durado
    Wender, Richard C.
    CA-A CANCER JOURNAL FOR CLINICIANS, 2015, 65 (06) : 496 - 510
  • [23] Factors associated with screening for colorectal cancer in a population-based sample.
    Stamatakis, KA
    Simoes, EJ
    Brownson, RC
    Vradenburg, J
    Murayi, T
    AMERICAN JOURNAL OF EPIDEMIOLOGY, 2001, 153 (11) : S114 - S114
  • [24] Reply: cost-effectiveness of population-based screening for colorectal cancer
    Sharp, L.
    Walsh, C.
    Whyte, S.
    Tilson, L.
    O'Ceilleachair, A.
    Usher, C.
    Tappenden, P.
    Chilcott, J.
    Staines, A.
    Barry, M.
    Comber, H.
    BRITISH JOURNAL OF CANCER, 2013, 108 (05) : 1211 - 1212
  • [25] Population-based screening improves histopathological prognostic factors in colorectal cancer
    Mónica Mengual-Ballester
    Enrique Pellicer-Franco
    Graciela Valero-Navarro
    Victoriano Soria-Aledo
    José Andrés García-Marín
    José Luis Aguayo-Albasini
    International Journal of Colorectal Disease, 2018, 33 : 23 - 28
  • [26] Colonoscopy is the preferred colorectal cancer screening method in a population-based program
    Marbet, U. A.
    Bauerfeind, P.
    Brunner, J.
    Dorta, G.
    Valloton, J. J.
    Delco, F.
    ENDOSCOPY, 2008, 40 (08) : 650 - 655
  • [27] Option appraisal of population-based colorectal cancer screening programmes in England
    Tappenden, Paul
    Chilcott, James
    Eggington, Simon
    Patnick, Julietta
    Sakai, Hannah
    Karnon, Jonathon
    GUT, 2007, 56 (05) : 677 - 684
  • [28] Reply: cost-effectiveness of population-based screening for colorectal cancer
    L Sharp
    C Walsh
    S Whyte
    L Tilson
    A O'Ceilleachair
    C Usher
    P Tappenden
    J Chilcott
    A Staines
    M Barry
    H Comber
    British Journal of Cancer, 2013, 108 : 1211 - 1212
  • [29] Predicting the effectiveness of the Finnish population-based colorectal cancer screening programme
    Chiu, Sherry Yueh-Hsia
    Malila, Nea
    Yen, Amy Ming-Fang
    Chen, Sam Li-Sheng
    Fann, Jean Ching-Yuan
    Hakama, Matti
    JOURNAL OF MEDICAL SCREENING, 2017, 24 (04) : 182 - 188
  • [30] A population-based survey of colorectal cancer screening in HNPCC families.
    Madlensky, L
    Goel, V
    AMERICAN JOURNAL OF HUMAN GENETICS, 2001, 69 (04) : 250 - 250