Evidence map›Paper›PMID 28764731›Full record

ArticleBMC public health2017

Evaluation of the colorectal cancer screening Programme in the Basque Country (Spain) and its effectiveness based on the Miscan-colon model.

I Idigoras, A Arrospide, I Portillo, E Arana-Arri, L Martínez-Indart, J Mar, H J de Koning, R Lastra, M Soto-Gordoa, M van der Meulen and 1 more

Erratum issuedOpen access · goldAbstract readComparative StudyEvaluation Study
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Simulation modeling validity and utility in colorectal cancer screening delivery: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020
    Pooled it
  2. Atencion primaria · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

I IdigorasBasque Country Colorectal Cancer Screening Programme, the Basque Health Service, Gran Vía, 62 - 4°, 48011, Bilbao, Spain. isabel.idigorasrubio@osakidetza.eus.
A ArrospideGipuzkoa Primary Care - Integrated Health Care Organizations Research Unit. Alto Deba Integrated Health Care Organization, Gipuzkoa, Spain.
I PortilloBasque Country Colorectal Cancer Screening Programme, the Basque Health Service, Gran Vía, 62 - 4°, 48011, Bilbao, Spain.
E Arana-ArriBioCruces Health Research Institute, Barakaldo, Spain.
L Martínez-IndartBioCruces Health Research Institute, Barakaldo, Spain.
J MarGipuzkoa Primary Care - Integrated Health Care Organizations Research Unit. Alto Deba Integrated Health Care Organization, Gipuzkoa, Spain.
H J de KoningDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
R LastraDepartment of Information Technologies, The Basque Health Service, Vitoria-Gasteiz, Spain.
M Soto-GordoaGipuzkoa Primary Care - Integrated Health Care Organizations Research Unit. Alto Deba Integrated Health Care Organization, Gipuzkoa, Spain.
M van der MeulenDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
I Lansdorp-VogelaarDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
BioCruces Health research Institute · ESErasmus MC · NLHospital Alto Deba · ESBasque Government · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The population-based Basque Colorectal Cancer (CRC) Screening Programme started in 2009 with a biennial immunochemical quantitative test (FIT) biennial and colonoscopy under sedation in positive cases. The population target of 586,700 residents was from 50 to 69 years old and the total coverage was reached at the beginning of 2014. The aim of our study was to determine possible scenarios in terms of incidence, mortality and reduction of Life-years-Lost (L-y-L) in the medium and long term of CRC.

methodsInvitations were sent out by the Programme from 2009 to 2014, with combined organizational strategies. Simulation was done by MISCAN-colon (Microsimulation Screening Analysis) over 30 years comparing the results of screening vs no-screening, taking the population-based Cancer Registry into account. Lifetime population and real data from the Programme were used from 2008 to 2012. The model was run differentially for men and women.

results924,416 invitations were sent out from 2009 to 2014. The average participation rate was 68.4%, CRC detection rate was 3.4% and the Advanced Adenoma detection rate was 24.0‰, with differences observed in sex and age. Future scenarios showed a higher decrease of incidence (17.2% vs 14.7%), mortality (28.1% vs 22.4%) and L-y-L (22.6% vs 18.4%) in men than women in 2030.

conclusionsThe Basque Country CRC Programme results are aligned to its strategy and comparable to other programmes. MISCAN model was found to be a useful tool to predict the benefits of the programme in the future. The effectiveness of the Programme has not been formally established as case control studies are required to determine long term benefits from the screening strategy.

Indexed as

ColonoscopyAgedColorectal NeoplasmsEarly Detection of CancerFemaleHumansIncidenceMaleMass ScreeningMiddle AgedSpainColorectal cancerEarly detection of cancerEffectivenessIncidenceLife year lostMortalityProgramme evaluation

Identifiers

PMID28764731
PMCPMC5540568
OpenAlexW2740373481

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.