Mª Esther Solé Llop1, Mabel Cano Del Pozo2, José-Ignacio García Montero2, Patricia Carrera-Lasfuentes3, Ángel Lanas4. 1. Laboratorio de Bioquímica, Hospital de Alcañiz, Alcañiz (Teruel), España. Electronic address: mesolel@salud.aragon.es. 2. Dirección General de Asistencia Sanitaria, Departamento de Sanidad, Gobierno de Aragón, Zaragoza, España. 3. Grupo de Patología Digestiva IIS Aragón, CIBER de Enfermedades Hepáticas y Digestivas (CIBEREHD), España. 4. Grupo de Patología Digestiva IIS Aragón, CIBER de Enfermedades Hepáticas y Digestivas (CIBEREHD), España; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Servicio de Gastroenterología, Hospital Clínico Universitario, Universidad de Zaragoza, Zaragoza, España.
Abstract
OBJECTIVE: To describe preliminary findings from the colorectal cancer screening programme in Aragon (Spain) to evaluate its implementation. METHODS: We have collected data from the first year of the program (2014) based on faecal occult blood immunochemical (FOBTi) test in patients 60-69 years old. We report "indicators" defined by the "Red Nacional de Cribado". RESULTS: Invited population after exclusions: 12,518. Program participation rate: 45.28% (95%CI: 44.41-46.15). Inadequate tests: 0.21% (95%CI: 0.12-0.37); positive FOBTi test 10.75% (95%CI: 9.97-11.58) and colonoscopy acceptance 95.07% (95%CI: 93.04-96.52). Colonoscopy was appropriate and complete in 97.58% (95%CI: 95.98-98.55) of cases. The high- and low-risk adenoma detection rates were 14.7‰ (95%CI: 11.9-18.2) and 5.55‰ (95%CI: 3.9-7.8) respectively. The positive predictive value for any adenoma was 58.55% (95%CI: 54.49-62.49) and for invasive cancer was 5.36% (95%CI: 3.8-7.51). CONCLUSION: The indicator analysis of the ongoing programme suggests the programme is being implemented correctly in our community.
OBJECTIVE: To describe preliminary findings from the colorectal cancer screening programme in Aragon (Spain) to evaluate its implementation. METHODS: We have collected data from the first year of the program (2014) based on faecal occult blood immunochemical (FOBTi) test in patients 60-69 years old. We report "indicators" defined by the "Red Nacional de Cribado". RESULTS: Invited population after exclusions: 12,518. Program participation rate: 45.28% (95%CI: 44.41-46.15). Inadequate tests: 0.21% (95%CI: 0.12-0.37); positive FOBTi test 10.75% (95%CI: 9.97-11.58) and colonoscopy acceptance 95.07% (95%CI: 93.04-96.52). Colonoscopy was appropriate and complete in 97.58% (95%CI: 95.98-98.55) of cases. The high- and low-risk adenoma detection rates were 14.7‰ (95%CI: 11.9-18.2) and 5.55‰ (95%CI: 3.9-7.8) respectively. The positive predictive value for any adenoma was 58.55% (95%CI: 54.49-62.49) and for invasive cancer was 5.36% (95%CI: 3.8-7.51). CONCLUSION: The indicator analysis of the ongoing programme suggests the programme is being implemented correctly in our community.
Authors: Ana Isabel Cobo-Cuenca; José Alberto Laredo-Aguilera; María-Aurora Rodríguez-Borrego; Esmeralda Santacruz-Salas; Juan Manuel Carmona-Torres Journal: Int J Environ Res Public Health Date: 2019-06-14 Impact factor: 3.390