TY - JOUR
T1 - Impact of screening programme using the faecal immunochemical test on stage of colorectal cancer. Results from the IMPATTO study
AU - Colorectal Cancer Screening IMPATTO study working group
AU - Vicentini, Massimo
AU - Zorzi, Manuel
AU - Bovo, Emanuela
AU - Mancuso, Pamela
AU - Zappa, Marco
AU - Manneschi, Gianfranco
AU - Mangone, Lucia
AU - Rossi, Paolo Giorgi
N1 - This article is protected by copyright. All rights reserved.
PY - 2018/12/26
Y1 - 2018/12/26
N2 - To evaluate the impact of faecal immunochemical test (FIT) screening on stage distribution at diagnosis, and to estimate relative incidence rates by stage in screened at first and subsequent rounds vs. unscreened. We included all incident cases occurring in 2000-2008 in 50-71-year-olds residing in areas with an FIT-screening programme. Multinomial logistic models were computed to estimate the relative risk ratio (RRR) of stages I and IV, compared to stage II+III, adjusting for age, sex, geographical area, and incidence year. Proportions were then used to estimate incidence rate ratios (IRR) by stage for screened subjects at the first and at subsequent rounds vs. unscreened subjects, applying the expected changes in overall incidence during screening phases. 11663 cancers were included: 5965 in not-invited and 5698 in invited subjects, 3425 of whom attendees. Compared to not-invited, invited subjects had RRR 2.04 (95%CI:1.84;2.46) of stage I and RRR 0.77 (95%CI:0.69; 0.87) of stage IV. Differences were stronger comparing attendees vs. non-attendees. Interval cancers were more frequently stage I compared to non-invited (RRR 1.54; 95%CI:1.15;2.04), but there was no difference for stage IV. IRRs in screened at first round vs. unscreened were 4.6 (95%CI:4.2;5.1), 1.4 (95%CI:1.3;1.5) and 0.7 (95%CI:0.6;0.9) for stages I, II+III and IV, respectively; in the following rounds the IRRs of screened vs. unscreened. were 1.4 (95%CI:1.2;1.6), 0.8 (95%CI:0.7;0.9) and 0.3 (95%CI:0.1;0.4) for stages I, II+III and IV, respectively. FIT screening reduces the incidence of metastatic cancers by about 70% after the first round. This article is protected by copyright. All rights reserved.
AB - To evaluate the impact of faecal immunochemical test (FIT) screening on stage distribution at diagnosis, and to estimate relative incidence rates by stage in screened at first and subsequent rounds vs. unscreened. We included all incident cases occurring in 2000-2008 in 50-71-year-olds residing in areas with an FIT-screening programme. Multinomial logistic models were computed to estimate the relative risk ratio (RRR) of stages I and IV, compared to stage II+III, adjusting for age, sex, geographical area, and incidence year. Proportions were then used to estimate incidence rate ratios (IRR) by stage for screened subjects at the first and at subsequent rounds vs. unscreened subjects, applying the expected changes in overall incidence during screening phases. 11663 cancers were included: 5965 in not-invited and 5698 in invited subjects, 3425 of whom attendees. Compared to not-invited, invited subjects had RRR 2.04 (95%CI:1.84;2.46) of stage I and RRR 0.77 (95%CI:0.69; 0.87) of stage IV. Differences were stronger comparing attendees vs. non-attendees. Interval cancers were more frequently stage I compared to non-invited (RRR 1.54; 95%CI:1.15;2.04), but there was no difference for stage IV. IRRs in screened at first round vs. unscreened were 4.6 (95%CI:4.2;5.1), 1.4 (95%CI:1.3;1.5) and 0.7 (95%CI:0.6;0.9) for stages I, II+III and IV, respectively; in the following rounds the IRRs of screened vs. unscreened. were 1.4 (95%CI:1.2;1.6), 0.8 (95%CI:0.7;0.9) and 0.3 (95%CI:0.1;0.4) for stages I, II+III and IV, respectively. FIT screening reduces the incidence of metastatic cancers by about 70% after the first round. This article is protected by copyright. All rights reserved.
U2 - 10.1002/ijc.32089
DO - 10.1002/ijc.32089
M3 - Article
C2 - 30585621
JO - International Journal of Cancer
JF - International Journal of Cancer
SN - 0020-7136
ER -