Adherencia al seguimiento de las personas con adenoma de alto riesgo diagnosticadas y excluidas del Programa de detección precoz de cáncer de colon y recto de Barcelona
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- dc.contributor.author Otero Hernández, Isabel
- dc.contributor.author Buron Pust, Andrea
- dc.contributor.author Macià Guilà, Francesc Assís
- dc.contributor.author Álvarez-Urturi, Cristina
- dc.contributor.author Comas Serrano, Mercè
- dc.contributor.author Román, Marta
- dc.contributor.author Castells, Xavier
- dc.date.accessioned 2018-11-16T09:27:33Z
- dc.date.issued 2018
- dc.description.abstract INTRODUCTION: Colorectal cancer screening programmes have been shown to reduce incidence and mortality. High-risk adenomas (HRA) are the most frequently diagnosed lesions in these programmes, and these patients are referred to a specialist. However, few studies have evaluated the adherence of HRA patients to the recommended endoscopic follow-up. OBJECTIVES: To analyse follow-up adherence and duration in patients diagnosed with HRA in a screening programme. METHODS: Retrospective cohort study of patients diagnosed with HRA within one of the participating hospitals of the colorectal cancer screening programme of Barcelona, during the first round of the programme (2010-2011). The follow-up period was 75.5 months. Descriptive analyses, logistic regression and survival models were performed. RESULTS: 602 patients were included in the study, 66.6% of which were men. The adherence rate was 83.7% (n=504). Follow-up colonoscopy was performed within the recommended time (36±6months) in 57.7%, with a mean follow-up of 34 months. The Cox regression only showed differences at the socioeconomic level, with a lower adherence rate in the most deprived quintile (HR 0.70; 95% CI, 0.53-0.93). CONCLUSIONS: Compared to previous studies, the follow-up adherence rate is considered to be acceptable. However, follow-up was not performed within the recommended time frame in a high proportion of cases. There is a need to further explore the reasons leading to lower follow-up adherence in the most deprived socioeconomic group and to increase the equity of the programme beyond participation.
- dc.format.mimetype application/pdf
- dc.identifier.citation Otero I, Burón A, Macià F, Álvarez-Urturi C, Comas M, Román M et al. Adherencia al seguimiento de las personas con adenoma de alto riesgo diagnosticadas y excluidas del Programa de detección precoz de cáncer de colon y recto de Barcelona. Gastroenterol Hepatol. 2018 Apr;41(4):226-33. DOI: 10.1016/j.gastrohep.2017.11.010
- dc.identifier.doi http://dx.doi.org/10.1016/j.gastrohep.2017.11.010
- dc.identifier.issn 0210-5705
- dc.identifier.uri http://hdl.handle.net/10230/35777
- dc.language.iso spa
- dc.publisher Elsevier
- dc.relation.ispartof Gastroenterología y Hepatología. 2018 Apr;41(4):226-33
- dc.rights © Elsevier http://dx.doi.org/10.1016/j.gastrohep.2017.11.010
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Adenoma de alto riesgo
- dc.subject.keyword Adherence
- dc.subject.keyword Adherencia
- dc.subject.keyword Colorectal cancer
- dc.subject.keyword Cribado
- dc.subject.keyword Cáncer colorrectal
- dc.subject.keyword High-risk adenoma
- dc.subject.keyword Screening
- dc.subject.keyword Surveillance
- dc.subject.keyword Vigilancia
- dc.subject.other Còlon -- Càncer
- dc.title Adherencia al seguimiento de las personas con adenoma de alto riesgo diagnosticadas y excluidas del Programa de detección precoz de cáncer de colon y recto de Barcelona
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion