title: The National Health Service Bowel Cancer Screening Program: the early years.
abstract: The National Health Service Bowel Cancer Screening Program (NHS BCSP) was developed to improve outcomes from colorectal cancer, the third most frequent cancer and the second highest cause of cancer deaths in the UK. Screening pilot programs were developed after previous trials demonstrated a reduction in mortality with the use of fecal occult blood population screening. A successful pilot period led to the roll out of national biennial screening for all 60-69 year olds in 2006, and extended to 60-74 year olds in 2010. To the end of 2012, there have been over 16 million invitations to screening, with uptake of 55.35%. FOBt positivity was 2.08%. Almost 15,000 cancers have been identified; screen-detected cancers have been shown to be at an earlier stage than non-screen-detected, with 35% Dukes' stage A. The BCSP provides high quality colonoscopy with low adverse events rates. It is also a rich data source for research.
authors.affiliation: South Tyneside District General Hospital, Harton Lane, South Shields, Tyne and Wear, NE34 0PL, UK. colin.rees@stft.nhs.uk
authors.forename: Colin J
authors.initials: CJ
authors.lastname: Rees
authors.forename: Roisin
authors.initials: R
authors.lastname: Bevan
mesh_terms: D000367:Age Factors; D000368:Aged; D003113:Colonoscopy / Q000592:standards; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D055088:Early Detection of Cancer; D006801:Humans; D008403:Mass Screening / Q000379:methods* / Q000592:standards; D008875:Middle Aged; D009780:Occult Blood; D018579:Patient Selection; D011237:Predictive Value of Tests; D011379:Prognosis; D016730:Program Development; D015397:Program Evaluation; D011787:Quality of Health Care; D012307:Risk Factors; D013222:State Medicine / Q000592:standards; D013997:Time Factors; D006113:United Kingdom / Q000453:epidemiology