Colorectal cancer screening with faecal immunochemical test: Patterns of participation.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Medical Screening Pub Date : 2024-03-01 Epub Date: 2023-07-18 DOI:10.1177/09691413231188275

Hanna Heyman, Johannes Blom, Deborah Saraste

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引用次数: 0

Abstract

Objective: To evaluate participation and participation patterns in a population-based screening programme for colorectal cancer (CRC) using the faecal immunochemical test (FIT).

Methods: All individuals invited to three consecutive screening rounds in the population-based CRC screening between October 2015 and December 2020 in the Stockholm-Gotland Region, Sweden were included. Patterns of participation were assessed.

Results: The study included 26 541 individuals which resulted in 79 623 screening events. The overall uptake rate was 71.5% and women had a significantly higher participation rate. The participation rate increased significantly between the first and third screening round for both men and women, and the increase was larger among men than women (66.1 to 70.7% vs. 73.1 to 75.4%). In total, 80.9% participated at least once. Consistent participation was the most common participation pattern (61.0%). The probability of attending all three consecutive rounds after initial participation was 87.7%. Over the three rounds, 17.4% participated after a reminder letter. Screening individuals attending after a reminder letter had a higher proportion of drop-outs in the following screening round compared to initial participants (15.4% vs 6.2%).

Conclusion: A constant and high participation rate was observed in population-based FIT-screening for CRC. Initial participation was a strong predictor for continuous participation. The need for a reminder letter before participation was a risk factor for subsequent drop-out.

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使用粪便免疫化学检验进行大肠癌筛查：参与模式。

目的评估使用粪便免疫化学检验（FIT）的人群大肠癌（CRC）筛查项目的参与情况和参与模式：方法：纳入瑞典斯德哥尔摩-哥特兰地区在 2015 年 10 月至 2020 年 12 月期间受邀参加连续三轮人群 CRC 筛查的所有人。对参与模式进行了评估：研究纳入了 26 541 人，共进行了 79 623 次筛查。总体参与率为 71.5%，女性参与率明显更高。在第一轮和第三轮筛查中，男性和女性的参与率都有明显提高，男性的提高幅度大于女性（66.1% 至 70.7% 对 73.1% 至 75.4%）。总共有 80.9% 的人至少参加过一次筛查。持续参与是最常见的参与模式（61.0%）。首次参加后连续参加三轮的概率为 87.7%。在三轮筛查中，17.4% 的人在收到提醒信后参加了筛查。与初次参加筛查的人相比，收到提醒信后参加筛查的人在下一轮筛查中退出的比例更高（15.4% 对 6.2%）：结论：在基于人群的 FIT 筛查中，CRC 的参与率一直很高。首次参与是持续参与的有力预测因素。参加前需要提醒信是随后退出的风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Screening 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.90

自引率

3.40%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Medical Screening, a fully peer reviewed journal, is concerned with all aspects of medical screening, particularly the publication of research that advances screening theory and practice. The journal aims to increase awareness of the principles of screening (quantitative and statistical aspects), screening techniques and procedures and methodologies from all specialties. An essential subscription for physicians, clinicians and academics with an interest in screening, epidemiology and public health.