Colorectal cancer screening: analysis of results in the Province of Neuquén, Argentina, 2015-2019

Authors

  • Ernesto Felipe Ruiz Hospital Provincial Neuquén, Comité Provincial de Biotecnología, Provincia del Neuquén, Argentina.A
  • Santiago Hasdeu Comité Provincial de Biotecnología, Provincia del Neuquén, Argentina

Keywords:

Colorectal Neoplasms, Mass Screening, Occult Blood, Colonoscopy, Argentina

Abstract

INTRODUCTION: Neuquén Province Cancer Prevention Program recommends Fecal Immunochemical Test (FIT) as a screening intervention, with subsequent confirmation by video-colonoscopy (VCC) in patients with a positive result. The objective of the study was to know the results of the use of FIT, the performance of confirmatory VCC and its findings. METHODS: A retrospective study was carried out. It analyzed the results of FIT in people aged 50-75 years, considering tests conducted in all agents of the Neuquén Public Health System in 2015- 2019 based on provincial computer records and data from each endoscopy center. The frequency of FIT results, VCC in patients with positive FIT and findings was determined. RESULTS: Of 9909 samples analyzed, 23.1% were positive. Confirmatory VCC was performed in 24.1% of the patients with positive FIT, with 3.7% having cancer, 35% with polyps and 61.3% of normal studies. The histological types of the polyps were tubular (49%), hyperplastic (21.3%), tubulovillous (20%), serrated (7.2%) and other types (2.5%). DISCUSSION: The frequency of positive FIT was higher than published. Only one in five patients with positive FIT underwent confirmatory VCC. The frequency of cancer and polyps was similar to the one found in other published studies. It is necessary to increase the number of confirmatory VCC 

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Published

28-06-2021

How to Cite

Ruiz, E. F., & Hasdeu, S. (2021). Colorectal cancer screening: analysis of results in the Province of Neuquén, Argentina, 2015-2019 . Revista Argentina De Salud Pública, 13, e38. Retrieved from https://rasp.msal.gov.ar/index.php/rasp/article/view/655