title: Colorectal Cancer Screening Programme in Spain: Results of Key Performance Indicators After Five Rounds (2000-2012).
abstract: Effective quality assurance is essential in any screening programme. This article provides a unique insight into key quality indicators of five rounds of the first population-based colorectal cancer screening programme implemented in Spain (2000-2012), providing the results according to the type of screening (prevalent or first screen and incident or subsequent screen) and test (guaiac or immunochemical). The total crude participation rate increased from 17.2% (11,011) in the first round to 35.9% (22,988) in the last one. Rescreening rate was very high (88.6% in the fifth round). Positivity rate was superior with the faecal immunochemical test (6.2%) than with the guaiac-based test (0.7%) (p < 0.0001) and detection rates were also better with the immunochemical test. The most significant rise in detection rate was observed for high risk adenoma in men (45.5 per 1,000 screened). Most cancers were diagnosed at an early stage (61.4%) and there was a statistically significant difference between those detected in first or subsequent screening (52.6% and 70.0% respectively; p = 0.024). The availability of these results substantially improves data comparisons and the exchange of experience between screening programmes.
authors.affiliation: Cancer Prevention and Control Programme, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.|Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Spain.|Department of Clinical Sciences, University of Barcelona, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Gemma
authors.initials: G
authors.lastname: Binefa
authors.affiliation: Cancer Prevention and Control Programme, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Montse
authors.initials: M
authors.lastname: Garcia
authors.affiliation: Cancer Prevention and Control Programme, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.|Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Spain.
authors.forename: Núria
authors.initials: N
authors.lastname: Milà
authors.affiliation: Cancer Prevention and Control Programme, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.|Department of Clinical Sciences, University of Barcelona, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Esteve
authors.initials: E
authors.lastname: Fernández
authors.affiliation: Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Spain.|Department of Gastroenterology, University Hospital of Bellvitge, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez-Moranta
authors.affiliation: Department of Pharmacy, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Núria
authors.initials: N
authors.lastname: Gonzalo
authors.affiliation: Cancer Prevention and Control Programme, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.|Department of Fundamental Care and Medical-Surgical Nursing, University of Barcelona, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Llúcia
authors.initials: L
authors.lastname: Benito
authors.affiliation: Department of Pharmacy, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Clopés
authors.affiliation: Department of Gastroenterology, University Hospital of Bellvitge, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Jordi
authors.initials: J
authors.lastname: Guardiola
authors.affiliation: Cancer Prevention and Control Programme, Catalan Institute of Oncology, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.|Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Spain.|Department of Clinical Sciences, University of Barcelona, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Víctor
authors.initials: V
authors.lastname: Moreno
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology*; D055088:Early Detection of Cancer / Q000379:methods; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D011159:Population Surveillance; D019984:Quality Indicators, Health Care; D015203:Reproducibility of Results; D013030:Spain / Q000453:epidemiology