ArticleBMJ open2014
Organised colorectal cancer screening in Lampang Province, Thailand: preliminary results from a pilot implementation programme.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Implementation research on noncommunicable disease prevention and control interventions in low- and middle-income countries: A systematic review.PLoS medicine · 2022Pooled it
- Strategies for prevention of gastrointestinal cancers in developing countries: a systematic review.Journal of global health · 2017Pooled it
- Delays in Presentation, Diagnosis, and Treatment Among Patients With GI Cancer in Southwest Nigeria.JCO global oncology · 2024Article
- Evaluation of the "Burgenland PREvention trial of colorectal cancer Disease with ImmunologiCal Testing" (B-PREDICT)-a population-based colorectal cancer screening program.BMC gastroenterology · 2024Article
- Colorectal cancer's burden attributable to a diet high in processed meat in the Belt and Road Initiative countries.World journal of gastrointestinal oncology · 2024Article
- Impact of Various Risk Factors on the Positive Fecal Immunochemical Test for Colorectal Cancer in the Iranian Population.Middle East journal of digestive diseases · 2023Article
- Colorectal Cancer Screening Pilot Project in Tehran-Iran, a Feasibility Study.Archives of Iranian medicine · 2023Article
- Assessment of Registry-Based Surveillance Statistics Used for Cancer Control in the Dindigul District in South India.Journal of registry management · 2023Article
- Colorectal cancer screening with fecal immunochemical testing: a community-based, cross-sectional study in average-risk individuals in Nigeria.The Lancet. Global health · 2022Article
- An Assessment of Physicians' Recommendations for Colorectal Cancer Screening and International Guidelines Awareness and Adherence: Results From a Thai National Survey.Frontiers in medicine · 2022Article
- The implementation of colorectal cancer screening interventions in low-and middle-income countries: a scoping review.BMC cancer · 2021Article
- Colorectal cancer and potential predictors of never screened for faecal occult blood test: a narrative review.Journal of public health research · 2021Article
- Current Status of Colorectal Cancer and Its Public Health Burden in Thailand.Clinical endoscopy · 2021Review
- The Value of Multi-targeted Fecal DNA Methylation Detection for Colorectal Cancer Screening in a Chinese Population.Journal of Cancer · 2021Article
- Factors of Never Screened with Faecal Occult Blood Test in Public Primary Care Facilities.Asian Pacific journal of cancer prevention : APJCP · 2021Article
- Does theory of planned behaviour play a role in predicting uptake of colorectal cancer screening? A cross-sectional study in Hong Kong.BMJ open · 2020Article
- Current Colorectal Cancer in Thailand.Annals of coloproctology · 2020Review
- Cancer Prevention in Low-Resource Countries: An Overview of the Opportunity.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2020Article
- National Cancer Control Program of Thailand.Asian Pacific journal of cancer prevention : APJCP · 2020Review
- Colorectal Cancer Genetics, Incidence and Risk Factors: In Search for Targeted Therapies.Cancer management and research · 2020Review
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
Abstract
objectiveColorectal cancer (CRC) is the third-most and fifth-most common cancer in men and women, in Thailand. The increasing CRC incidence and mortality can be reduced by screening and treating adenomas and early cancers. A pilot CRC screening programme using immunochemical faecal occult blood testing (iFOBT) and colonoscopy for test-positives were implemented through the routine Government Health Services in Lampang Province, to inform the acceptability, feasibility and scaling-up of screening in Thailand. This report describes the implementation, coverage and performance indicators of this project.
designA target population aged 50-65 years was informed about and invited face to face to undergo CRC screening by community health workers (HWs). The HWs provided faecal sample collection kits and participants brought their samples to one of the primary health units or community hospitals where nurses performed iFOBT. iFOBT-positive persons were referred for colonoscopy at the Lampang cancer hospital, and endoscopic polypectomy/biopsies were performed according to the colonoscopic findings. Those with confirmed CRC received appropriate treatment.
resultsOf the 127 301 target population, 62.9% were screened using iFOBT between April 2011 and November 2012. Participation was higher among women (67.8%) than men (57.8%) and lower in 50-54 year-old persons than in 60-65-year-olds. Of those screened, 873 (1.1%) were found positive; positivity was higher in men (1.2%) than in women (1.0%). To date 627 (72.0%) iFOBT-positive persons have had colonoscopy in which 3.7% had CRC and 30.6% had adenomas.
conclusionsThe successful implementation of the pilot CRC screening with satisfactory process measures indicate the feasibility of scaling-up organised CRC screening through existing health services in Thailand.
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