TAILIEUCHUNG - Evaluation of the UK Colorectal Cancer Screening Pilot

Quality assurance of the screening process requires a robust system of programme mana- gement and coordination, assuring that all aspects of the service are performing adequa- tely. The first edition of the European Guidelines for Quality Assurance in Cervical Cancer Screening emphasized the principles of organised, population-based screening and was in- strumental in initiating pilot projects in Europe. More than a decade has passed since pub- lication of the first guideline edition. Subsequently, the Council adopted in December 2003 the Council recommendation on cancer screening recommending to the Member States, whenever available to follow evi- dence-based EU guidelines for cancer screening in implementing or. | Evaluation of the UK Colorectal Cancer Screening Pilot Final Report February 2003 revised May 2003 The UK CRC Screening Pilot Evaluation Team Address for correspondence Professors Freda Alexander David Weller Department of Community Health Sciences University of Edinburgh Edinburgh EH8 9DX ph. 0131 6502675 fax 0131 6509519 1 2 Contents Executive Summary 1. The UK Pilot and its Evaluation Background Structure and Functions of the Pilot Sites The Evaluation 2. Uptake and Acceptability of Screening Analyses of Routine Data Psychosocial Surveys Focus Group Studies Ethnicity Conclusions and Recommendations 3. Uptake and Acceptability of Colonoscopy Analyses of Routine Data Psychosocial Surveys Ethnicity Conclusions and Recommendations 4. Outcomes of Screening FOB Test Results Cancer and Adenoma Detection Rates Ethnicity Adverse Sequelae of Screening in the UK Pilot Conclusions and Recommendations 5. Health Economics Introduction Review of Previous Economic Analyses Modelling CRC Screening Conclusions and Recommendations 6. Workload and Impact on Routine Services Primary Care Hospital Services Predicted Colonoscopies from Screening and Adenoma Follow-up Conclusions and Recommendations 7. Stakeholders Organisation and Management and Information Systems Organisation and Management Information Systems Reflecting on the Piloting Process Perspective of Primary Care Personnel Perspectives of Invitees Conclusions and Recommendations 8. Summary and Future Directions

• Y học thường thức
• Mechanisms of Carcinogenesis
• Role of Oxidative Stress
• Inflammation and DNA
• Step Ahead of Cancer
• Epigenetic Paradigm
• Lifestyle Changes
• COX 2 Promoter
• Early Detection
• Clinical Setting
• development measures