Impact on invitation and participation in the CRC screening in the Basque Country due to Covid19

Autor: I Idigoras Rubio, I Portillo Villares, I Bilbao Iturribarria, C Aguinaco Garcia, M Gomez Lopez, B Santos Zorrozua, N Gonzalez Nieto, JJ Herrero Hernandez
Rok vydání: 2021
Předmět:
Zdroj: European Journal of Public Health. 31
ISSN: 1464-360X
1101-1262
DOI: 10.1093/eurpub/ckab164.523
Popis: Background The colorectal cancer screening programme (BCSP) obtains excellent participation rate, reflected in early detection and treatment of pre & malignant lesions, objectifying a downward trend in incidence & mortality rates Objectives To compare invitation coverage and impact on participation with faecal immunochemical test (FIT) pre&post pandemic. To compare the participation rate in Primary Care Units (UAP) in which the invitation and FIT pickup was interrupted with those that were not, in order to design prioritization strategies in the face of another lockdown Methods Retrospective cohort study of invitations from 2018-2020. Indicators of coverage and participation rate to COVID 19, during the interruption due to lockdown, and subsequent invitations sent out without interruption afterwards. Data analysis R version 4.0.1 stats and MKinfer Results 40% of the planned invitations were taken up (81,097/200,000) showing a decrease in participation rate (71.9/68.8%) P ≤ 0.05 95% CI(2.79-3.52), with significant differences in all groups by age and sex. In the comparative analysis between UAPs that interrupted test collection in March resumed in June or when the invitation was made without interruption (September to December), higher participation rates were observed in the group that did not interrupt the screening (68.1/69.8%) P ≤ 0.05 95%CI (1.18-2.23), with differences in all groups of age and sex. In order to reorganize the activity, agreements were made:1)prioritization of screening colonoscopies, 2)reduce the burden of follow-up colonoscopies based on the evidence. Advanced lesions, has passed from 1 to 3ys, and only the resection in piecemeal ≥20mm sessile is done in under 1y Conclusions The Covid-19 pandemic has affected the BCSP with a decrease in scheduled invitations, but only a slight decrease in the participation rate. The impact is lower if the collection of FIT samples is not interrupted. If a new lockdown is needed, we will not stop the collection of FITs Key messages The Covid-19 pandemic has affected the BCSP adn will impact in incidence and mortality of CRC. The impact is lower if the collection of FIT samples is not interrupted.
Databáze: OpenAIRE
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