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.

Détails

Ressource 1Télécharger: 35757577_BIB_AF2A8E171C6E.pdf (733.87 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_AF2A8E171C6E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
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.
Périodique
Preventive medicine reports
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
08/2022
Peer-reviewed
Oui
Volume
28
Pages
101851
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
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
Web of science
Open Access
Oui
Création de la notice
04/07/2022 12:53
Dernière modification de la notice
22/02/2023 7:50
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