title: [Colorectal Cancer Early Screening Program of Barcelona, Spain: Indicators of the first round of a program with participation of community pharmacies].
abstract: OBJECTIVE
  The Colorectal Cancer Screening Program of Barcelona was implemented in December 2009 and involves pharmacies for the distribution and collection of screening tests. The aim of this article is to describe the main indicators of the first round of the Program (2010-2011), based on the ones suggested by the European Union.
  
  
  METHODS
  The target population of the Colorectal Cancer Screening Program of Barcelona includes men and women aged 50-69 years who live in the catchment areas of Hospital Clínic and Hospital del Mar. Screening consists of biennial immunochemical fecal occult blood testing, with colonoscopy as confirmatory procedure.
  
  
  RESULTS
  Target population comprised 197,795 persons. Participation rate was 43.6%, was higher among women and among those aged 60 and older. 2.1% of the eligible population stated to have been already screened for colorectal cancer. Overall positivity rate was 6.2%, higher among men and with a broad variability among health care areas. The detection rates of low- and high-risk adenoma, and of invasive cancer were 9.1 ‰, 21.7 ‰ and 3.1 ‰, respectively. 48.2% of tumors were stage i.
  
  
  CONCLUSIONS
  These results are considered satisfactory and consistent with those obtained in other programs and with European standards. Nevertheless, some areas for improvement have been identified. The high participation rate can be attributed, at least in part, to the type of test and to the involvement of community pharmacies.
authors: Servicio de Epidemiología y Evaluación, Hospital del Mar, Barcelona, España; IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), Barcelona, España; Red de investigación en servicios de salud en enfermedades crónicas (REDISSEC), Barcelona, España. Electronic address: aburon@parcdesalutmar.cat.
authors: Andrea
authors: A
authors: Burón
authors: Servicio de Medicina Preventiva y Epidemiologia, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors: Jaume
authors: J
authors: Grau
authors: IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), Barcelona, España; Servicio de Digestología, Hospital del Mar, Barcelona, España.
authors: Montserrat
authors: M
authors: Andreu
authors: Servicio de Bioquímica y Genética Molecular, Centro de Diagnóstico Biomédico (CDB), Hospital Clínic, Barcelona, España.
authors: Josep M
authors: JM
authors: Augé
authors: Direcció de Projectes i Recerca, Consell de Col·legis Farmacèutics de Catalunya, Barcelona, España.
authors: Rafael
authors: R
authors: Guayta-Escolies
authors: Col·legi Oficial de Farmacèutics de Barcelona, Barcelona, España.
authors: Mercè
authors: M
authors: Barau
authors: Servicio de Epidemiología y Evaluación, Hospital del Mar, Barcelona, España; IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), Barcelona, España; Red de investigación en servicios de salud en enfermedades crónicas (REDISSEC), Barcelona, España.
authors: Francesc
authors: F
authors: Macià
authors: Servicio de Gastroenterología, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigaciones Biomédicas en Red en Enfermedades Hepáticas y Digestivas (CIBEREHD), Universitat de Barcelona, Barcelona, España.
authors: Antoni
authors: A
authors: Castells
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D000236:Adenoma / Q000175:diagnosis / Q000453:epidemiology; D000368:Aged; D002391:Catchment Area, Health; D003111:Colonic Polyps / Q000175:diagnosis / Q000453:epidemiology; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D003157:Community Pharmacy Services / Q000458:organization & administration*; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009780:Occult Blood; D011237:Predictive Value of Tests; D012306:Risk; D013030:Spain / Q000453:epidemiology
keywords: Average-risk population; Cancer early detection; Cancer screening; Colorectal cancer; Community pharmacy services; Cribado; Cáncer colorrectal; Diagnóstico precoz; Farmacia comunitaria; Población de riesgo intermedio