Cf3.3 Colorectal Cancer Screening Coverage In Greece

Author(s): 
G. Ferentinos, G. Zacharias, S. Patrinos, A. Xilomenos, C. Peponi, G. Katiniotis
Panhellenic Association for Continual Medical Research (PACMeR) Public Health Section, Athens, Greece
Text: 
Background.
Colorectal cancer is the major cause of cancer death in European countries and differences in screening implementation may partially explain USA versus European survival differences. Indeed, proportion of primary-care physicians advising colorectal cancer screening (CCS) is notably lower in Europe. Despite of these evidences, no study has evaluated the population CCS coverage in any European country. Objectives: to index the current CCS practices among a large sample of Greek healthy adults.
Study Design.
Cross-sectional survey. Methods. 5259 healthy adults aged 50-80, were surveyed for screening practice habits. Both, overall practices (any cause) and screening practices (asymptomatic individuals) for stool occult blood test (SOBT), digital rectal examinations (DRE), sigmoidoscopy or colonoscopy (COL/SIG) were analysed.
Results:
90.1% of the population declared interest in cancer prevention activities. Overall SOBT practice’s rates during the last two years were 4.77%. When only screening procedures were analysed, this percentage shrank to 1.48%. 95.23% never underwent or have not done SOBT within the last two years. Overall and screening COL/SIG rates (during last ten years) were 8.76% and 1.74% respectively; DRE rates (non evidence-based test) were 14.54% and 5.19% respectively. Evidence based screening practices were relatively influenced by age, family history for colorectal cancer, profession and educational level; anyhow, SOBT and COL/SIG did not overcome 4.1% and 4.6% in any sub-population analysed.
Conclusion.
Colorectal cancer screening coverage among the examined sample of Greek adults was discouraging. A great deal has to be done if screening has to make any impact on the Hellenic colorectal cancer mortality.
Literature: 
CF3.3 COLORECTAL CANCER SCREENING COVERAGE IN GREECE