Resultados de 10 años del Programa de Prevención de cáncer colorrectal en la Comunitat Valenciana
2021
Background: The population-based Program for the
Prevention of Colorectal Cancer (PPCRC) was implemented
in 2005 in the Valencian Community, following the
guidelines of the European Union. To achieve the desired
effectiveness in these programs, it is necessary to achieve a
series of requirements, assessable through the program indicators.
The objective of this study was to analyze the evolution
of the program indicators from 2006 to 2016.
Methods: The accumulated indicators for the period
were calculated. The Poisson regression model was used
to compare the indicators by age groups and sex, by type
of screening, by type of fecal occult blood test (FOBT)
and by year.
Results: The number of people invited to participate
was 1,934,266. The participation rate was 44.4%, being
87.6% in the subsequent screening and 33.7% in the initial
one, with men over 60 having the lowest participation
figures. Except for the positive predictive value (PPV) for
low risk adenomas, which was higher in a group of men
aged 50 to 59 years of successive screening, the detection
rates and PPV for the different types of lesions were higher
in the initial screening, with immunological test and
in the group of men over 60 years old. Throughout the period,
there was a decrease in the test positivity rates and in
the advanced adenomas and cancers detection rates.
Conclusions: The PPCCR reaches levels of quality
for which the effectiveness of the program is demonstrated.
However, the insufficient participation of some population
groups highlights the need to carry out studies
to achieve the desired objectives in all population groups
and thus result in greater effectiveness of the program.
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