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Equitable colorectal cancer screening implementation framework via a modified Delphi Consensus for Romanian
1Carol Davila University of Medicine and Pharmacy Bucharest, Clinical Emergency Hospital of Bucharest, No 8 Floreasca Street, Sector 1, 014461, Bucharest, Romania. ionut.negoi@umfcd.ro.
Scientific Reports
|November 28, 2025
Summary
Implementing a tailored colorectal cancer (CRC) screening program in Romania can reduce mortality. The study recommends primary care involvement, starting screening at 45, and patient-centered strategies to boost adherence.
Area of Science:
- Oncology
- Public Health
- Preventive Medicine
Background:
- Colorectal cancer (CRC) is a leading cause of cancer mortality globally.
- Early detection through screening significantly reduces CRC incidence and mortality rates.
- Screening uptake is inconsistent due to healthcare resource and program implementation disparities.
Purpose of the Study:
- To evaluate strategies for implementing an effective CRC screening program in Romania.
- To enhance screening adherence considering national demographics and resources.
- To develop a feasible and appropriate CRC screening framework tailored to Romania's healthcare settings.
Main Methods:
- A modified Delphi process involving a multidisciplinary panel from 19 countries.
- Two survey rounds and a consensus meeting were conducted.
- Recommendations were developed for average-risk individuals, considering international input and Romanian context.
Main Results:
- Primary care physicians should lead CRC risk assessment and patient engagement.
- Screening initiation at age 45 to 75 is recommended, with extension to 85 for eligible individuals.
- Region-specific strategies, multiple screening modalities, and a centralized tracking system are advised to improve adherence.
Conclusions:
- A harmonized CRC screening framework tailored to Romania's healthcare infrastructure can enhance screening adherence.
- A patient-centered approach offering multiple modalities is crucial for effective screening.
- Implementing this scalable model is essential for reducing CRC mortality through early detection.
Keywords:
Colorectal cancerDelphi consensusEarly detectionGuidanceHealthcare disparitiesRadical resectionScreeningScreening adherenceMore Related Videos
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