Quality Indicators of Colorectal Cancer Screening Programme in Catalonia (spain)

Background: A colorectal cancer (CCR) screening programme based on faecal occult blood (FOB) test every 2 years was introduced in 2000 in Catalonia (Spain). Quality indicators (QI) were established for monitoring and evaluation of the outcomes of the screening programme. Objective: To present the key performance indicators of the CCR screening programme. Methods: Descriptive analysis of the main QI of the first two completed rounds in the Catalan CCR screening programme Results: The most important results of the two screening rounds were: Participation rate: 17.2% in first round (1R) and 22.3% in second round (2R). Adherence rate was 67.4%. QI related to the screening test (FOBT): Adequate FOB test: 96.4% 1R and 95.5% 2R. Positivity rate: 3.4% 1R and 0.8% 2R. QI related to the diagnostic test (colonoscopy): Delay time between positive FOBT and colonoscopy examination: 41 days 1R and 47 days 2R. Assessment attendance: 89.8% 1R and 87.8% 2R. Complete exploration: 92.3% (both rounds together). Complications: 1% (both rounds together). Screen-detected advanced neoplasm rate: 9.3‰ 1R and 3.7‰ 2R. Positive predictive value for advanced neoplasm: 27.4% 1R and 44.7% 2R assurance of ongoing followup (explorations and treatments). Conclusions: The guidelines for quality assessment in our CCR programme were useful to ensure the quality outcomes. Standard guidelines must be developed in order to ensure effective implementation and facilitate comparison across different countries. Colorectal Cancer Abstracts Page 1 of 18 ICSN Biennial Meeting 2008 Helsingør, Denmark The Canadian Strategy on Cancer Control: Supporting the Establishment of Organized Colorectal Cancer Screening Programs in Canada Authors: V Mai, J Brisson, H Bryant, A Coldman, G Doyle, R Grimshaw, M Harrison, A McCulloch, J Onysko, B Stein