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dc.contributorIDIAP Jordi Gol
dc.contributor.authorBuron, Andrea
dc.contributor.authorAuge, Josep M.
dc.contributor.authorSala, Maria
dc.contributor.authorRomán, Marta
dc.contributor.authorCastells, Antoni
dc.contributor.authorMacià, Francesc
dc.contributor.authorComas, Mercè
dc.contributor.authorGuiriguet, Carolina
dc.contributor.authorBessa, Xavier
dc.contributor.authorCastells Cervelló, Xavier
dc.contributor.authorPROCOLON research group
dc.date.accessioned2018-06-18T09:36:38Z
dc.date.available2018-06-18T09:36:38Z
dc.date.issued2017-06-16
dc.identifier.citationBuron A, Auge JM, Sala M, Román M, Castells A, Macià F, et al. Association between socioeconomic deprivation and colorectal cancer screening outcomes: low uptake rates among the most and least deprived people. PLoS One. 2017Jun 16;12(6):e0179864.doi:10.1371/journal.pone.0179864
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/11351/3517
dc.descriptionCàncer colorectal; Cribratge; Factors socioeconòmics
dc.description.abstractBACKGROUND Screening with faecal occult blood tests reduces colorectal cancer-related mortality; however, age, sex and socioeconomic factors affect screening outcomes and could lead to unequal mortality benefits. The aim of this study was to describe the main outcomes of the population-based Barcelona colorectal cancer screening programme (BCRCSP) by deprivation. METHODS: Retrospective study of the eligible population of the first round of the BCRCSP. Participants' postal addresses were linked with the MEDEA database to obtain the deprivation quintiles (Dq). Chi-squared tests were used to compare proportions across variables and logistic regression was used to estimate the adjusted effects of age, sex and deprivation on uptake, FIT positivity, colonoscopy adherence and advanced neoplasia detection rate. RESULTS: Overall uptake was 44.7%, higher in Dq2, 3 and 4 (OR 1.251, 1.250 and 1.276, respectively) than in the least deprived quintile (Dq 1), and lowest in Dq5 (OR 0.84). Faecal immunochemical test (FIT) positivity and the percentage of people with detectable faecal haemoglobin below the positivity threshold increased with deprivation. The advanced neoplasia detection rate was highest in Dq4. CONCLUSION: Unlike most regions where inequalities are graded along the socioeconomic continuum, inequalities in the uptake of colorectal cancer screening in Spain seem to be concentrated first in the most disadvantaged group and second in the least deprived group. The correlation of deprivation with FIT-positivity and faecal haemoglobin below the positivity threshold is worrying due to its association with colorectal cancer and overall mortality.
dc.language.isoeng
dc.publisherPublic Library of Science
dc.relation.ispartofseriesPLoS ONE;12(6)
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.sourceScientia
dc.subjectCòlon - Càncer
dc.subjectCribatge (Medicina)
dc.subjectPacients - Condicions econòmiques
dc.subject.meshColorectal Neoplasms
dc.subject.meshMass Screening
dc.subject.meshSocioeconomic Factors
dc.titleAssociation between socioeconomic deprivation and colorectal cancer screening outcomes: low uptake rates among the most and least deprived people
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1371/journal.pone.0179864
dc.subject.decsneoplasias colorrectales
dc.subject.decscribado sistemático
dc.subject.decsfactores socioeconómicos
dc.relation.publishversionhttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0179864
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.authoraffiliation[Buron A, Sala M, Román M, Macià F, Comas M, Castells X] Departament d’Epidemiologia i Avaluació, Hospital del Mar, Barcelona, Spain. Institut Hospital de Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain. REDISSEC (Health Services Research on Chronic Patients Network), Madrid, Spain. [Auge JM] Servei de Bioquímica i Genètica Molecular, Hospital Clinic, Barcelona, Spain. IDIBAPS (Institut d’Investigacions Biomèdiques August Pi i Sunyer), Barcelona, Spain. [Castells A] IDIBAPS (Institut d’Investigacions Biomèdiques August Pi i Sunyer), Barcelona, Spain. Departament de Gastroenterologia, Hospital Clínic, Barcelona, Spain. Universitat de Barcelona, Spain. CIBERehd (CIBER for Digestive and Liver Diseases), Madrid, Spain. [Guiriguet C] Centre d’Atenció Primària (CAP) Gòtic, Institut Català de la Salut, Barcelona, Spain. Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. [Bessa X] Departament de Gastroenterologia, Hospital del Mar, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
dc.identifier.pmid28622365
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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