“Benefits” to increase colorectal cancer screening in priority populations
Mené aux Etats-Unis auprès de 450 patients ayant effectué un test de détection de recherche de sang occulte dans les selles entre 2011 et 2012, cet essai randomisé évalue l'efficacité d'un programme d'interventions, reposant sur la délivrance gratuite d'un test FIT accompagné d'un guide adapté aux personnes peu alphabétisées, puis sur la diffusion de textos ou de messages téléphoniques de rappel, pour améliorer le taux de participation au dépistage annuel du cancer colorectal chez les personnes défavorisées
Colorectal cancer (CRC) is a leading cause of cancer death in the United States. Many CRC deaths could be averted by screening because screening decreases both CRC incidence and mortality by 30% to 60%.1 Although CRC screening rates have risen in recent years, with 65% of Americans aged 50 to 75 years reporting being up-to-date,2 rates remain suboptimal and are marked by pronounced racial/ethnic and socioeconomic disparities. Only 53% of Latinos2 and 39% of individuals with incomes below the federal poverty level are current for CRC screening (Figure). Low socioeconomic status is also associated with higher rates of CRC mortality.3 Increasing screening in priority populations could substantially decrease morbidity and mortality from CRC.
JAMA Internal Medicine , commentaire, 2013