Organized colorectal cancer screening programmes: how to optimize efficiency in the general population

Area of Science:

• Public Health
• Gastroenterology
• Cancer Screening

Background:

• France offers free faecal occult blood testing for colorectal cancer (CRC) screening to individuals aged 50-74 every two years.
• Assessing public and physician perception of organized CRC screening programs is crucial for improving participation.

Purpose of the Study:

• To evaluate the perception of an organized colorectal cancer screening program among French individuals aged 40-75 and general practitioners.
• To identify barriers to CRC screening participation in France.

Main Methods:

• Two nationwide observational telephone surveys (EDIFICE 1 in 2005, EDIFICE 2 in 2008) were conducted.
• Surveys included representative samples of the French population and general practitioners.

Main Results:

• The CRC screening rate among individuals aged 50-74 increased by 13% from 2005 to 2008, reaching 38% in 2008.
• Lack of awareness (35-37%) and insufficient general practitioner advice (15-21%) were the primary reasons for not undergoing screening.
• Individuals who underwent screening reported higher positive perceptions of its feasibility (94%) compared to those unscreened (87%).

Conclusions:

• The French population recognizes the benefits of colorectal cancer screening.
• Despite increased awareness and screening rates, significant barriers like lack of awareness and GP referral persist.
• Targeted interventions addressing these hurdles are necessary to enhance regular CRC screening participation.