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Showing content from https://pubmed.ncbi.nlm.nih.gov/22864455/ below:

Socioeconomic variation in uptake of colonoscopy following a positive faecal occult blood test result: a retrospective analysis of the NHS Bowel Cancer Screening Programme

. 2012 Aug 21;107(5):765-71. doi: 10.1038/bjc.2012.303. Epub 2012 Aug 2. Socioeconomic variation in uptake of colonoscopy following a positive faecal occult blood test result: a retrospective analysis of the NHS Bowel Cancer Screening Programme G Baio, E Kendall, C von Wagner, J Wardle, W Atkin, S P Halloran, G Handley, R F Logan, A Obichere, S Rainbow, S Smith, J Snowball, R Raine

Affiliations

Affiliation

¹ Department of Applied Health Research, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. steve.morris@ucl.ac.uk

PMID: 22864455
PMCID: PMC3425978
DOI: 10.1038/bjc.2012.303

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Socioeconomic variation in uptake of colonoscopy following a positive faecal occult blood test result: a retrospective analysis of the NHS Bowel Cancer Screening Programme

S Morris et al. Br J Cancer. 2012.

. 2012 Aug 21;107(5):765-71. doi: 10.1038/bjc.2012.303. Epub 2012 Aug 2. Authors S Morris¹, G Baio, E Kendall, C von Wagner, J Wardle, W Atkin, S P Halloran, G Handley, R F Logan, A Obichere, S Rainbow, S Smith, J Snowball, R Raine Affiliation

¹ Department of Applied Health Research, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. steve.morris@ucl.ac.uk

PMID: 22864455
PMCID: PMC3425978
DOI: 10.1038/bjc.2012.303

Item in Clipboard

Abstract

Background: Bowel cancer is a serious health burden and its early diagnosis improves survival. The Bowel Cancer Screening Programme (BCSP) in England screens with the Faecal Occult Blood test (FOBt), followed by colonoscopy for individuals with a positive test result. Socioeconomic inequalities have been demonstrated for FOBt uptake, but it is not known whether they persist at the next stage of the screening pathway. The aim of this study was to assess the association between colonoscopy uptake and area socioeconomic deprivation, controlling for individual age and sex, and area ethnic diversity, population density, poor self-assessed health, and region.

Methods: Logistic regression analysis of colonoscopy uptake using BCSP data for England between 2006 and 2009 for 24 180 adults aged between 60 and 69 years.

Results: Overall colonoscopy uptake was 88.4%. Statistically significant variation in uptake is found between quintiles of area deprivation (ranging from 86.4 to 89.5%), as well as age and sex groups (87.9-89.1%), quintiles of poor self-assessed health (87.5-89.5%), non-white ethnicity (84.6-90.6%) and population density (87.9-89.3%), and geographical regions (86.4-90%).

Conclusion: Colonoscopy uptake is high. The variation in uptake by socioeconomic deprivation is small, as is variation by subgroups of age and sex, poor self-assessed health, ethnic diversity, population density, and region.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures
Figure 1

Colonoscopy uptake among individuals with…

Figure 1

Colonoscopy uptake among individuals with a positive FOBt result. Number of individuals during…

Figure 1

Colonoscopy uptake among individuals with a positive FOBt result. Number of individuals during the period October 2006 to January 2009 is shown in brackets. Abbreviation: FOBt=Faecal Occult Blood test.

Figure 2

Adjusted plots of colonoscopy uptake…

Figure 2

Adjusted plots of colonoscopy uptake by deprivation ( A ), health ( B…

Figure 2

Adjusted plots of colonoscopy uptake by deprivation (A), health (B), ethnic diversity (C) and rurality (D). The solid lines show the relationship between the variables and the probability of colonoscopy uptake based on the coefficients in Model (2) in Supplementary Table A3 in the Supplementary Online Material. Predicted values are computed by fixing the other variables at their sample mean values. The range of the x-axis is limited to the 5th to the 95th percentile of the sample values of each variable. The dashed lines show the mean uptake rate across the sample (88.4%).