Cf3.3 Colorectal Cancer Screening Coverage In Greece

G. Ferentinos, G. Zacharias, S. Patrinos, A. Xilomenos, C. Peponi, G. Katiniotis
Panhellenic Association for Continual Medical Research (PACMeR) Public Health Section, Athens, Greece
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.
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.
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.