Lesley M McGregor1, Bernardette Bonello1, Robert S Kerrison1, Claire Nickerson2, Gianluca Baio3, Lindy Berkman4, Colin J Rees5, Wendy Atkin6, Jane Wardle1, Christian von Wagner7. 1. Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London. 2. NHS Cancer Screening Programmes, Sheffield. 3. Department of Statistical Science, University College London. 4. Patient Representative. 5. South Tyneside NHS Foundation Trust, South Tyneside School of Medicine, Health and Pharmacy, University of Durham, County Durham. 6. Deparment of Surgery and Cancer, Imperial College London, St Mary's Campus, London. 7. Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London c.wagner@ucl.ac.uk.
Abstract
OBJECTIVE: To examine uptake in the first six pilot centres of the English Bowel Scope Screening (BSS) programme, which began in early 2013 and invites adults aged 55 for a one off Flexible Sigmoidoscopy. METHODS: Between March 2013 and May 2014 the six pilot centres sent 21,187 invitations. Using multivariate logistic regression analysis, we examined variation in uptake by gender, socioeconomic deprivation (using the Index of Multiple Deprivation), area-based ethnic diversity (proportion of non-white residents), screening centre, and appointment time (routine: daytime vs out-of-hours: evening/weekend). RESULTS: Uptake was 43.1%. Men were more likely to attend than women (45% vs 42%; OR 1.136, 95% CI 1.076, 1.199, p < 0.001). Combining data across centres, there was a socioeconomic gradient in uptake, ranging from 33% in the most deprived to 53% in the least deprived quintile. Areas with the highest level of ethnic diversity also had lower uptake (39%) than other areas (41-47%) (all p < 0.02), but there was no gradient. Individuals offered a routine appointment were less likely to attend than those offered an out-of-hours appointment (42% vs. 44%; OR 0.931, 95% CI 0.882, 0.983, p = 0.01). Multivariate analyses confirmed independent effects of deprivation, gender, and centre, but not of ethnic diversity or appointment time. CONCLUSION: Early indications of uptake are encouraging. Future efforts should focus on increasing public awareness of the programme and reducing socioeconomic inequalities.
OBJECTIVE: To examine uptake in the first six pilot centres of the English Bowel Scope Screening (BSS) programme, which began in early 2013 and invites adults aged 55 for a one off Flexible Sigmoidoscopy. METHODS: Between March 2013 and May 2014 the six pilot centres sent 21,187 invitations. Using multivariate logistic regression analysis, we examined variation in uptake by gender, socioeconomic deprivation (using the Index of Multiple Deprivation), area-based ethnic diversity (proportion of non-white residents), screening centre, and appointment time (routine: daytime vs out-of-hours: evening/weekend). RESULTS: Uptake was 43.1%. Men were more likely to attend than women (45% vs 42%; OR 1.136, 95% CI 1.076, 1.199, p < 0.001). Combining data across centres, there was a socioeconomic gradient in uptake, ranging from 33% in the most deprived to 53% in the least deprived quintile. Areas with the highest level of ethnic diversity also had lower uptake (39%) than other areas (41-47%) (all p < 0.02), but there was no gradient. Individuals offered a routine appointment were less likely to attend than those offered an out-of-hours appointment (42% vs. 44%; OR 0.931, 95% CI 0.882, 0.983, p = 0.01). Multivariate analyses confirmed independent effects of deprivation, gender, and centre, but not of ethnic diversity or appointment time. CONCLUSION: Early indications of uptake are encouraging. Future efforts should focus on increasing public awareness of the programme and reducing socioeconomic inequalities.
Authors: Robert S Kerrison; Lesley M McGregor; Sarah Marshall; John Isitt; Nicholas Counsell; Colin J Rees; Christian von Wagner Journal: Endoscopy Date: 2016-12-20 Impact factor: 10.093
Authors: Christian von Wagner; Yasemin Hirst; Sara Tookey; Robert S Kerrison; Sarah Marshall; Andrew Prentice; Daniel Vulkan; Una Macleod; Stephen Duffy Journal: BMJ Open Date: 2018-05-05 Impact factor: 2.692
Authors: Robert S Kerrison; Lesley M McGregor; Sarah Marshall; John Isitt; Nicholas Counsell; Jane Wardle; Christian von Wagner Journal: Br J Cancer Date: 2016-03-15 Impact factor: 7.640
Authors: Lesley M McGregor; Hanna Skrobanski; Hayley Miller; Mary Ritchie; Lindy Berkman; Stephen Morris; Colin Rees; Christian von Wagner Journal: Pilot Feasibility Stud Date: 2016-09-14
Authors: Arun P Shanmuganandan; Muhammad R Sameem Siddiqui; Nicholas Farkas; Kiran Sran; Rhys Thomas; Said Mohamed; Robert I Swift; Al Mutaz Abulafi Journal: World J Gastrointest Endosc Date: 2017-05-16
Authors: Ian Forgacs; Rachel Ashton; William Allum; Terry Bowley; Hilary Brown; Michel P Coleman; Rebecca Fitzgerald; Michael Glynn; Sara Hiom; Roger Jones; Michael Machesney; Jane Maher; Stephen P Pereira; Robert Steele; Andrew Veitch; Steve Wyatt Journal: Frontline Gastroenterol Date: 2016-06-14