programas cribado cancer

Nota bibliográfica cribado c colorrectal 2014-06

Cohen-Cline H, Wernli KJ, Bradford SC, Boles-Hall M, Grossman DC. Use of interactive voice response to improve colorectal cancer screening. Med Care. 2014;52(6):496–9. Available from: doi: 10.1097/MLR.0000000000000116. PMID: 24638119.

DISCUSSION: Our analysis provides “real-world” evidence that IVR is effective when delivered by a commercial health plan, and may be a useful tool for increasing adherence to screening guidelines among patients outside an integrated care practice.

Digby J, McDonald PJ, Strachan JA, Libby G, Steele RJC, Fraser CG. Deprivation and faecal haemoglobin: implications for bowel cancer screening. J Med Screen. 2014;21(2):95–7. Available from: doi: 10.1177/0969141314535388.

Conclusions Deprivation and f-Hb are related. This has important implications for selection of cut-off f-Hb for screening programmes, and supports the inclusion of deprivation in risk-scoring systems.

Helander S, Hakama M, Malila N. Effect of a pre-screening survey on attendance in colorectal cancer screening: A double-randomized study in Finland. J Med Screen. 2014;21(2):82–8. Available from: doi: 10.1177/0969141314534229.

Conclusions We believe that the observed reduction in attendance in those who had been sent a questionnaire earlier is generally true. Thus, if any survey is enclosed in the screening invitation, this finding should be taken into account when planning the programme. Any extra effort requested may reduce the attendance proportion for screening, reducing the population level impact of screening.

Yang DX, Gross CP, Soulos PR, Yu JB. Estimating the magnitude of colorectal cancers prevented during the era of screening. Cancer. 2014;n/a–n/a. Available from: doi: 10.1002/cncr.28794.

CONCLUSIONS There has been a significant decline in the incidence of colorectal cancer in the United States, particularly for late-stage disease, during a time of increasing rates of screening.

Van Hees F, Habbema JDF, Meester RG, Lansdorp-Vogelaar I, van Ballegooijen M, Zauber AG. Should Colorectal Cancer Screening Be Considered in Elderly Persons Without Previous Screening?A Cost-Effectiveness Analysis Colorectal Cancer Screening in Unscreened Elderly Persons. Ann Intern Med. 2014;160(11):750–9. Available from:

Conclusion: In unscreened elderly persons CRC screening should be considered well beyond age 75 years. A colonoscopy is indicated at most ages.

Brenner H, Hoffmeister M, Birkner B, Stock C. Men with negative results of guaiac-based fecal occult blood test have higher prevalences of colorectal neoplasms than women with positive results. Int J Cancer. 2014;134(12):2927–34. Available from: doi: 10.1002/ijc.28618. PMID: 24374771.

Our findings underline need to move forward from and overcome shortcomings of gFOBT-based colorectal cancer screening.

Bevan R, Lee TJW, Nickerson C, Rubin G, Rees CJ. Non-neoplastic findings at colonoscopy after positive faecal occult blood testing: Data from the English Bowel Cancer Screening Programme. J Med Screen. 2014;21(2):89–94. Available from: doi: 10.1177/0969141314528889.

Reporting of NNF varies between colonoscopists, and potential underreporting is a limitation of this study. Further study is required to establish the impact of NNF on primary and secondary care.
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