• Record: found
  • Abstract: found
  • Article: not found

Uptake of colorectal cancer screening: system, provider and individual factors and strategies to improve participation.

Future oncology (London, England)

Patient Participation, Physician's Practice Patterns, prevention & control, Health Knowledge, Attitudes, Practice, Health Plan Implementation, Humans, Mass Screening, Patient Compliance, Colorectal Neoplasms, diagnosis

Read this article at

      There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.


      Colorectal cancer (CRC) accounts for 9% of all new cancer cases worldwide and affects over 1 million people each year. Screening can reduce the mortality associated with the disease, yet participation rates are suboptimal. Compliers with CRC screening are less deprived; they have higher education than noncompliers and tend to be male, white and married. Likely reasons for nonparticipation encompass several 'modifiable' factors that could be targeted in interventions aimed at increasing participation rates. Successful intervention strategies include organizational changes, such as increasing access to fecal occult blood test (FOBT) kits, providing reminders to healthcare providers or users about screening opportunities, and educational strategies to improve awareness and attitudes towards CRC screening. Multifactor interventions that target more than one level of the screening process are likely to have larger effects. The biggest challenge for future research will be to reduce inequalities related to socio-economic position and ethnicity in the uptake of screening.

      Related collections

      Author and article information



      Comment on this article