Workplace interventions to increase colorectal cancer screening: health technology assessment

Abstract

INTRODUCTION: Colorectal cancer (CRC) is the third most frequent neoplasm and the fourth cause of death from cancer worldwide. In Argentina it is the second most frequent malignancy, with 11.8% of the cases. The objective of the study was to assess the evidence on the effectiveness of workplace interventions aimed at increasing the screening rate of CRC. METHODS: A search was conducted in bibliographic databases, generic Internet search engines, and national health and education ministry websites. RESULTS: Two cluster randomized clinical trials (RCTs), one RCT, five non-control group implementation studies, program reports and clinical practice guidelines for CRC screening developed in American countries as well as a European guideline were included. Workplace interventions are effective for increasing the rate of screening. The delivery of faecal occult blood test (FOBT) kits was the most frequently used intervention, followed by information distribution and educational meetings. Interventions were more effective in those who had a family history of CRC or who were informed of the individual risk of developing the disease. Educational meetings in the workplace are an acceptable environment for disseminating information and distributing FOBT kits. DISCUSSION: An approach consisting of workplace interventions could increase the rate of CRC screening in the general population