Adherence to a colorectal cancer screening using the faecal immunochemical test

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Article Title:	Adherence to a colorectal cancer screening using the faecal immunochemical test
Authors:	Bogdan Miuţescu, Ioan Sporea, Alina Popescu, Simona Bota, Dana Iovănescu, Eftimie Miuţescu
Affiliation:	Department of Gastroenterology, “Vasile Goldiş” West University Arad Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy “Victor Babes” Timişoara
Abstract:	The objective of our study was to estimate the adherence to a colorectal cancer (CCR) screening programme, using the faecal immunochemical test (FIT). Materials and methods: In this study we analysed the adherence to a CCR screening programme in an average risk population aged between 50 and 74 years. A qualitative FIT was used and colonoscopy was recommended for patients with positive results. Results. In our study 2967 subjects were invited to participate in the CRC screening programme. From all invited persons, 1389 (46.8%) performed the FIT. Compliance to FIT was significantly higher among women as compared with men: 49.1% vs. 43.9%, p=0.005. Also, the compliance to FIT was significantly higher in subjects from urban area as compared with those from rural area: 48.7% vs. 41.9%, p=0.0009. The adherence to FIT was higher in age group 70-74 years as compared with the others age groups. Colonoscopy was performed in 57/87 of positive FIT subjects (65.5%). Conclusions. Adherence rate for FIT was 46.8%. Participants with positive test results had a compliance rate for follow-up colonoscopy of 65.5%.
Keywords:	screening, colorectal cancer, faecal immunochemical test, adherence, compliance
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*Correspondence:	Bogdan Miuţescu, Department of Gastroenterology, Clinical County Emergency Hospital Arad, No. 2-4 Andreny Karoly St., 310037, Arad, Romania, Tel. +40357407200, Fax. +40357407211, email: bmiutescu@yahoo.com