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Updated: Oct 3, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[Screening for colorectal cancer. Study of a population attending a public health clinic]
J Steinmetz1, Y Spyckerelle, J Henny
1Centre technique d'appui et de formation des Centres d'examens de santé (Cetaf), Laboratoire du Centre de Médecine Préventive, F54500 Vandoeuvre-lès-Nancy. josiane.steinmetz@cetaf.asso.fr
Objectives:
Screening for colorectal cancer with fecal occult-blood test has been performed in health centers for several years. The aim of this study was to describe participation rate and results in a population attending the Center for preventive medicine at Vandoeuvre-lès-Nancy, France in 1996 and 1997.
Patients And Methods:
Among 19,325 people aged 50-75 years, the screening test was proposed to 17,917 and performed in 15,527.
Results:
Participation rate was 86.7%. Overall positivity was 3.6% higher in men than in women (4.1% versus 3.0%). In the 440 colonoscopies performed, 22 cancers and 84 adenoma polyps were identified (PPV = 24%).
Discussion:
These results show good participation rates in a screening program for colorectal cancer during periodic health check-ups. Follow-up for positive subjects was satisfactory but requires good cooperation between specialists and general practitioners to obtain complete information to evaluate the program.
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