Bissig, Sarah; Syrogiannouli, Lamprini; Schneider, Rémi; Tal, Kali; Selby, Kevin; Del Giovane, Cinzia; Bulliard, Jean-Luc; Senn, Oliver; Ducros, Cyril; Schmid, Christian P R; Marbet, Urs; Auer, Reto (2022). Change in colorectal cancer (CRC) testing rates associated with the introduction of the first organized screening program in canton Uri, Switzerland: Evidence from insurance claims data analyses from 2010 to 2018. Preventive Medicine Reports, 28, p. 101851. Elsevier 10.1016/j.pmedr.2022.101851
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The first canton in Switzerland to implement an organized colorectal cancer screening program (OSP) was Uri. Starting in 2013, it offered 50-69-year-olds free testing with colonoscopy every 10 years or fecal occult blood test (FOBT) every 2 years. We tested the association between the OSP and testing rates over time. We analyzed claims data of 50-69-year-olds from Uri and neighboring cantons (NB) provided by a large health insurance and complemented it with data from the OSP. We fitted multivariate adjusted logistic regression models to compare overall testing rates and by method (colonoscopy or FOBT/both) We computed the 2018 rate of the population up-to-date with testing (colonoscopy within 9 years/FOBT within 2 years). Yearly overall testing rates in Uri increased from 8.7% in 2010 to 10.8% in 2018 and from 6.5% to 7.9% in NB. In Uri, the proportion tested with FOBT/both increased from 4.7% to 6.0% but decreased from 2.8% to 1.1% in NB. Testing by FOBT/both increased more between 2015 and 2018 than 2010-2012 in Uri than in NB (OR:2.1[95%CI:1.8-2.4]), it increased less for colonoscopy (OR:0.60[95%CI:0.51-0.70]), with no change in overall CRC testing (OR:0.91[95%CI:0.81-1.02]). In 2018 in Uri, 42.5% were up-to-date with testing (FOBT/both:9.2%, colonoscopy:35.7%); in NBs, 40.7% (FOBT/both:2.7%, colonoscopy:39%). Yearly FOBT rates in Uri were always higher than in NB. Though the OSP in Uri was not associated with a greater increase in overall testing rates, the OSP was associated with increased FOBT.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM) |
UniBE Contributor: |
Bissig, Sarah Maria, Syrogiannouli, Lamprini, Schneider, Rémi, Tal, Kali, Del Giovane, Cinzia, Auer, Reto |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
2211-3355 |
Publisher: |
Elsevier |
Funders: |
[189] Swiss Cancer Research = Krebsforschung Schweiz ; [4] Swiss National Science Foundation |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
28 Jun 2022 09:17 |
Last Modified: |
05 Dec 2022 16:21 |
Publisher DOI: |
10.1016/j.pmedr.2022.101851 |
PubMed ID: |
35757577 |
Uncontrolled Keywords: |
AL, Swiss analysis list for laboratory measures CRC, colorectal cancer FOBT, gFOBT, iFOBT, fecal occult blood test, guaiac or immunochemical based (also called FIT) FSO, federal statistics office NB, neighboring cantons OSP, organized screening program PCG, pharmacy based cost groups SHS, swiss health survey TARMED, Swiss ambulant procedures codes Uri, the canton of Uri claims data colonoscopy colorectal cancer fecal occult blood test health insurance organized screening program screening testing rates |
BORIS DOI: |
10.48350/170970 |
URI: |
https://boris.unibe.ch/id/eprint/170970 |
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