%0 Journal Article
%T Impact of organised programs on colorectal cancer screening
%A Fran£¿ois Eisinger
%A Laurent Cals
%A Anne Calazel-Benque
%A Jean-Yves Blay
%A Yvan Coscas
%A Sylvie Dolbeault
%A Mo£¿se Namer
%A Xavier Pivot
%A Olivier Rixe
%A Daniel Serin
%A Claire Roussel
%A Jean-Fran£¿ois Mor¨¨re
%A The EDIFICE committee
%J BMC Cancer
%D 2008
%I BioMed Central
%R 10.1186/1471-2407-8-104
%X Two nationwide observational telephone surveys were conducted in early 2005. First among a representative sample of subjects living in France and aged between 50 and 74 years that covered both geographical departments with and without implemented screening services. Second among General Practionners (Gps). Descriptive and multiple logistic regression was carried out.Twenty-five percent of the persons(N = 1509) reported having undergone at least one CRC screening, 18% of the 600 interviewed GPs reported recommending a screening test for CRC systematically to their patients aged 50¨C74 years. The odds ratio (OR) of having undergone a screening test using FOBT was 3.91 (95% CI: 2.49¨C6.16) for those living in organised departments (referent group living in departments without organised screening), almost twice as high as impact educational level (OR = 2.03; 95% CI: 1.19¨C3.47).CRC screening is improved in geographical departments where it is organised by health authorities. In France, an organised screening programs decrease inequalities for CRC screening.Evidence of the efficacy of screening for colorectal cancer (CRC), in terms of both reduced mortality and reduced incidence through removal of adenomatous polyps, led both the U.S. Preventive Services Task Force [1] and the Advisory Committee on Cancer Prevention in the European Union [2] to recommend mass screening. Colorectal cancer organised screening is increasing at different regional and national levels [3]. In 1998 the French National Consensus Conference on Colorectal Cancer distinguished three levels of risk (moderate, high or very high) and advocated the use of Hemoccult II for mass screening of subjects with moderate risk [4]. Based upon academic initiatives, early studies have been carried out in 3 French departments since 1998 or earlier [5]. Later on, the French national cancer plan focused on screening interventions, including CRC and, from 2003 onwards, regional organised screening programs were set up wi
%U http://www.biomedcentral.com/1471-2407/8/104