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.

Details

Serval ID
serval:BIB_AF2A8E171C6E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
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.
Journal
Preventive medicine reports
Author(s)
Bissig S., Syrogiannouli L., Schneider R., Tal K., Selby K., Del Giovane C., Bulliard J.L., Senn O., Ducros C., Schmid CPR, Marbet U., Auer R.
ISSN
2211-3355 (Print)
ISSN-L
2211-3355
Publication state
Published
Issued date
08/2022
Peer-reviewed
Oui
Volume
28
Pages
101851
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
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
Pubmed
Open Access
Yes
Create date
04/07/2022 12:53
Last modification date
08/07/2022 6:35
Usage data