Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Patera N, Schumacher I. Screening for colorectal cancer part 1: screening-tests and program design. Vienna: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA). HTA project report No.: 41a. 2012 Authors' conclusions - program design (quality) and participation rate matter
- choice of screening-test is of secondary importance
- CRC-screening is not simply about choosing the right initial test for screening
- effective CRC-screening is about establishing a quality assured screening-program integrating diagnosis, treatment and surveillance
- emphasis on quality focused human resource development of endoscopists
- uptake is the primary determinant of effectiveness for a screening-program
- level of regular participation and the resulting effective program-sensitivity has a greater influence than the sensitivity of a single performance of a screening-test particularly in the context of a population-based screening-program for slowly developing abnormalities (e.g. for CRC)
- study of determinants of participation rate warranted to inform program design
- quality of screening-program (narrower realm of screening plus integration of diagnosis – treatment – surveillance) affects desired outcome of mortality reduction and minimization of negative repercussions on screened population Indexing Status Subject indexing assigned by CRD MeSH Colorectal Neoplasms; Humans; Mass Screening Language Published English Country of organisation Austria English summary An English language summary is available. Address for correspondence Ludwig Boltzmann Institute fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7 rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99 Email: claudia.wild@hta.lbg.ac.at AccessionNumber 32013000021 Date abstract record published 17/01/2013 |