Factors affecting patient adherence to publicly funded colorectal cancer screening programmes: a systematic review

Dressler, Jannie; Johnsen, Anna Thit; Madsen, Lise; Rasmussen, Morten; Jørgensen, Lars N.

doi:10.1016/j.puhe.2020.10.025

Cited by 47 publications

(46 citation statements)

References 39 publications

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“…On the one hand, barriers to participation in CRC screening include fatalism, low education, low income, poor health information and knowledge, and negative attitudes towards cancer screening. 22 On the other hand, non-attenders to CRC screening are characterized by a higher likelihood of having overweight, obesity, and type 2 diabetes, 23 which increase the risk of a large spectrum of high-incidence cancers (particularly of the breast and prostate) and cardiovascular diseases. The interaction between a passive health behavior and this epidemiologic pattern provides an explanation for the difference in non-CRCrelated mortality between attenders and non-attenders.…”

Section: Discussionmentioning

confidence: 99%

Effects of Attendance to an Organized Fecal Immunochemical Test Screening Program on the Risk of Colorectal Cancer: An Observational Cohort Study

Baldacchini

Bucchi

Giuliani

et al. 2022

Clinical Gastroenterology and Hepatology

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Section: Discussionmentioning

confidence: 99%

Effects of Attendance to an Organized Fecal Immunochemical Test Screening Program on the Risk of Colorectal Cancer: An Observational Cohort Study

Baldacchini

Bucchi

Giuliani

et al. 2022

Clinical Gastroenterology and Hepatology

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“…A recent systematic review found that the common barriers to uptake of CRC screening in HICs were related to some of the implementation considerations mentioned earlier, i.e. logistical barriers and lack of awareness about CRC screening [65].…”

Section: Opportunitiesmentioning

confidence: 99%

The implementation of colorectal cancer screening interventions in low-and middle-income countries: a scoping review

et al. 2021

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Background Low- and middle-income countries (LMICs) experienced increasing rates of colorectal cancer (CRC) incidence in the last decade and lower 5-year survival rates compared to high-income countries (HICs) where the implementation of screening and treatment services have advanced. This review scoped and mapped the literature regarding the content, implementation and uptake of CRC screening interventions as well as opportunities and challenges for the implementation of CRC screening interventions in LMICs. Methods We systematically followed a five-step scoping review framework to identify and review relevant literature about CRC screening in LMICs, written in the English language before February 2020. We searched Medline, Embase, Web of Science and Google Scholar for studies targeting the general, asymptomatic, at-risk adult population. The TIDieR tool and an implementation checklist were used to extract data from empirical studies; and we extracted data-informed insights from policy reviews and commentaries. Results CRC screening interventions (n = 24 studies) were implemented in nine middle-income countries. Population-based screening programmes (n = 11) as well as small-scale screening interventions (n = 13) utilised various recruitment strategies. Interventions that recruited participants face-to-face (alone or in combination with other recruitment strategies) (10/15), opportunistic clinic-based screening interventions (5/6) and educational interventions combined with screening (3/4), seemed to be the strategies that consistently achieved an uptake of > 65% in LMICs. FOBT/FIT and colonoscopy uptake ranged between 14 and 100%. The most commonly reported implementation indicator was ‘uptake/reach’. There was an absence of detail regarding implementation indicators and there is a need to improve reporting practice in order to disseminate learning about how to implement programmes. Conclusion Opportunities and challenges for the implementation of CRC screening programmes were related to the reporting of CRC cases and screening, cost-effective screening methods, knowledge about CRC and screening, staff resources and training, infrastructure of the health care system, financial resources, public health campaigns, policy commitment from governments, patient navigation, planning of screening programmes and quality assurance.

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“…9 Moreover, the majority of these reviews independently target each type of cancer diagnosis, focusing on breast, 10,11 cervical, 12,13 or colorectal cancer screening alone. 14,15 This may however hinder the possibility to identify those common factors that can influence the overall screening attitude. Indeed, there is evidence underlining how offering screenings for different cancers at the same time could favor individuals' general attitude towards, and actual uptake of, cancer screening.…”

Section: Introductionmentioning

confidence: 99%

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

et al. 2022

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Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation. Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted. Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination. Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence-based interventions and health-promotion campaigns worldwide. Research and practical implications are highlighted and discussed.

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Factors affecting patient adherence to publicly funded colorectal cancer screening programmes: a systematic review

Cited by 47 publications

References 39 publications

Effects of Attendance to an Organized Fecal Immunochemical Test Screening Program on the Risk of Colorectal Cancer: An Observational Cohort Study

Effects of Attendance to an Organized Fecal Immunochemical Test Screening Program on the Risk of Colorectal Cancer: An Observational Cohort Study

The implementation of colorectal cancer screening interventions in low-and middle-income countries: a scoping review

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

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