Implementing a national flexible sigmoidoscopy screening program: results of the English early pilot.
Endoscopy
; 47(3): 225-31, 2015 Mar.
Article
en En
| MEDLINE
| ID: mdl-25268309
ABSTRACT
BACKGROUND AND STUDY AIMS:
Following the results of a major UK study showing that once-only flexible sigmoidoscopy (FSIG) screening significantly reduced colorectal cancer (CRC) incidence and mortality, an FSIG screening program in England was announced in late 2010. Three "early pilot" sites were selected in 2011 in Derby, South of Tyne, and Tees to assess the practicalities of the delivery of FSIG screening. PARTICIPANTS ANDMETHODS:
Eligible people aged 55 from selected practices in the three early pilot areas received postal invitations to participate. The South of Tyne and Derby sites employed interactive models of screening invitation, while Tees used a simple invitation. Data were collected to assess uptake, process, and outcome. A self-completion participant satisfaction questionnaire was sent to all participants 1 month after attendance.RESULTS:
A total of 4023 55-year-olds were invited to participate. Uptake was 29â%, with 1151 people screened over a 3-month period. Screening uptake differed by method of invitation a simple approach was significantly more successful than an interactive one (32â% vs. 27â%, Pâ=â0.0015). Uptake decreased significantly with increasing deprivation. Adenomas were found in 111 (9.8â%) of those screened and cancer in two. The procedure was rated "very" or "fairly" acceptable by 97â% of participants. Over 90â% of respondents said they would participate in future cancer screening and a similar proportion would recommend doing so to others.CONCLUSION:
Delivery of an FSIG screening program to prevent CRC is feasible and should be implemented using a simple invitation system. The national Bowel Scope program subsequently commenced at pilot sites in May 2013, with full implementation planned by 2016.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias del Recto
/
Neoplasias del Colon Sigmoide
/
Aceptación de la Atención de Salud
/
Adenoma
/
Sigmoidoscopía
/
Desarrollo de Programa
/
Selección de Paciente
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Endoscopy
Año:
2015
Tipo del documento:
Article
País de afiliación:
Reino Unido