Equal access to colorectal cancer screening
Menée en Angleterre auprès de 747 856 participants âgés de 60 à 74 ans et répartis dans 4 essais, cette étude évalue l'efficacité de 4 interventions, basées sur l'envoi de brochures d'information, de lettres de rappel ou de lettres d'invitation, pour réduire les inégalités en matière d'accès au dépistage organisé du cancer colorectal
Population-based screening is effective in reducing the burden of colorectal cancer, and organised screening programmes have been implemented in many European countries.1 Maximum participation in screening is crucial to achieve the greatest health benefits at population level. As with most cancer screening programmes, however, there is a gradient in uptake of colorectal cancer screening by socioeconomic status, from the most to the least deprived.2–4 Because colorectal cancer screening results in earlier diagnosis or primary prevention, inequalities in colorectal cancer outcomes between socioeconomic groups are expected to increase with wider implementation of screening programmes.
The Lancet , commentaire, 2014