Colorectal cancer screening awareness in European primary care

Mauri, Davide; Pentheroudakis, George; Milousis, Athanasios; Xilomenos, Apostolos; Panagoulopoulou, Evaggelia; Bristianou, Magdalini; Zacharias, Georgios; Christidis, Dimitrios; Mustou, Evaggelia Aikaterini; Gkinosati, Athanasia; Pavlidis, Nicholas

doi:10.1016/j.cdp.2005.08.005

Cited by 18 publications

(17 citation statements)

References 47 publications

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“…The presence of a diagnostic cancer screening bias was therefore hypothesised since early diagnostic procedures might be less available in Europe than in the USA. Pivotal analyses seem to confirm this hypothesis [3][4][5]. Indeed, when colorectal cancer was considered, survival differences were maintained irrespective of which European nation was compared, correction for stage at diagnosis consistently reduced survival differences and the reduction was largely unrelated to the European geographic area analysed [6].…”

Section: Introductionmentioning

confidence: 80%

Screening practice and misplaced priorities

et al. 2009

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Section: Introductionmentioning

confidence: 80%

Screening practice and misplaced priorities

et al. 2009

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“…In 2008, given the significant societal burden of cancer in Greece [1,4,5] as well as the lack of targeted preventive national programmes [6][7][8], the Ministry of Health and Social Solidarity proposed the National Cancer Plan (NCP) [9]. Its aim is to prioritize cancer diagnosis and treatment and to implement a national funding cancer management programme for the period 2008-2012.…”

Section: Background and Objectivesmentioning

confidence: 99%

Colocteral cancer management and prevention policies in Greece

Geitona

Kanavos

2009

Eur J Health Econ

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Despite lower cancer mortality rates in Greece compared to other European countries, colorectal cancer (CRC) is the third most important cause of cancer mortality. Given the significant economic and societal impact of CRC in Greece, this paper focuses on CRC data resources, disease management and the existing prevention policies. Numerous initiatives have taken place for the collection of data and the creation of cancer registries, however, they currently remain incomplete. Despite universal access of the Greek population to health services provision, structural problems of the national health system have imposed organisational barriers to the geographical distribution of health resources. National invitational CRC screening programmes focusing on early detection of the disease as well as guidelines for its management are missing. All novel cancer treatments are fully reimbursed. Post-treatment surveillance guidelines for high-risk patients are very limited and depend solely on health providers' decisions. A National Cancer Plan (NCP) had been announced during the 2008-2012, but is still in the planning phases. Under the proposed NCP, the longevity of cancer data collection seems to be the critical step in monitoring and improving the performance of the health system. Detailed epidemiological data will give the possibility of constructing an effective prevention policy, will reduce socio-economic inequalities in the access to CRC treatment and lighten the differences observed in health outcomes. The full implementation of the NCP constitutes the most significant investment in cancer management that has ever taken place in Greece.

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“…The presence of a diagnostic CRC screening bias was therefore hypothesised, as early diagnostic procedures might be much less available in Europe than in the USA [2]. Indeed, although low CRC screening rates have also been referred in the USA [3], a recent systematic review of the literature comparing US vs. European CRC screening implementation confirmed the presence of the diagnostic bias [4]. European deficiencies both in CRC screening guideline implementation and in advising screening tests in primary care were highlighted [4].…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, although low CRC screening rates have also been referred in the USA [3], a recent systematic review of the literature comparing US vs. European CRC screening implementation confirmed the presence of the diagnostic bias [4]. European deficiencies both in CRC screening guideline implementation and in advising screening tests in primary care were highlighted [4]. Unfortunately only data from Italian and French physicians were available for the data comparison [4]; however, recent data from a Greek survey [5] and an English qualitative study [6] seem to support the results of the review.…”

Section: Introductionmentioning

confidence: 99%

“…European deficiencies both in CRC screening guideline implementation and in advising screening tests in primary care were highlighted [4]. Unfortunately only data from Italian and French physicians were available for the data comparison [4]; however, recent data from a Greek survey [5] and an English qualitative study [6] seem to support the results of the review.…”

Section: Introductionmentioning

confidence: 99%

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