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Vol. 42. Issue 6.
Pages 351-361 (June - July 2019)
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Vol. 42. Issue 6.
Pages 351-361 (June - July 2019)
Original article
DOI: 10.1016/j.gastre.2019.01.017
Impact of a Primary Care intervention on the colorectal cancer early detection programme
Impacto de una intervención de Atención Primaria en el programa de detección precoz de cáncer colorrectal
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Francisco José Luque Melladoa,
Corresponding author
fjluque@gencat.cat

Corresponding author.
, Lidia Paino Pardala, Isabel Condomines Feliua, Isabel Tora-Rocamorab, Mercè Cuadras Rofastesa, Elvira Romero Díazb, Maribel Pacheco Ortiza, Juan Carlos Camuñez Bravob, Marta Aldeab, Jaume Grau Canob, grupo de investigación PROCOLON
a Equipo de Atención Primaria Guineueta, Institut Català de la Salut, Barcelona, Spain
b Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Barcelona, Spain
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Tables (4)
Table 1. Description of the results of the programme as a whole and by group (no telephone intervention, yes telephone intervention).
Table 2. Description of the sociodemographic characteristics age and gender, and of the final programme statuses (participation, non-participation and exclusion) by group (no telephone intervention, yes telephone intervention).
Table 3. Logistic regression models of the correlation between the sociodemographic factors age and gender and participation by group (no telephone intervention, yes telephone intervention).
Table 4. Comparison of Guineueta ABS with surrounding ABSs of a similar socioeconomic status.
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Abstract
Aim

To assess the effectiveness of a telephonic interview performed by primary care professionals among non-participants in the first round of the colorectal cancer early detection programme in the basic urban health area Guineueta in Barcelona, Spain.

Patients and methods

The Primary Healthcare Team of La Guineueta contacted people who did not respond to the invitation to the first round of the colorectal cancer early detection programme using a standardised telephone call protocol. We analysed the impact of the intervention based on participation and diagnosed disease.

Results

We made 3327 phone calls to 2343 people. After the intervention the participation rate was 54.9%, which meant an increase of 5.7% with respect to the participation in the usual protocol for the programme (49.2%). The intervention allowed 5 cancers, 2 high-risk neoplasms and 8 low- and intermediate-risk lesions to be diagnosed. An average of 9 phone calls was necessary to achieve the participation of one additional person.

Discussion

The telephonic intervention performed by primary care professionals has significantly increased the population participation rate and the detection of neoplasms with respect to the usual colorectal cancer early detection programme protocol.

Keywords:
Colorectal cancer
Cancer screening
Population participation
Primary care
Secondary prevention
Resumen
Introducción

Evaluar la efectividad de una entrevista telefónica realizada por profesionales de Atención Primaria en personas no participantes en la primera ronda del Programa de detección precoz de cáncer colorrectal (PDPCCR), en el área básica de salud (ABS) urbana Guineueta de Barcelona (España).

Pacientes y métodos

Un grupo de profesionales de Atención Primaria del ABS Guineueta contactó, mediante un protocolo de llamadas telefónicas estandarizadas, con personas que no atendieron la invitación a participar en la primera ronda del PDPCCR. Se analiza el impacto de esta intervención en la tasa de participación y las enfermedades detectadas.

Resultados

Se realizaron 3.327 llamadas telefónicas a 2.343 personas. Tras la intervención, la tasa de participación fue del 54,9%, lo que supone un incremento del 5,7% con respecto a la participación del protocolo habitual del programa (49,2%). Se han diagnosticado 5 cánceres, 2 neoplasias de riesgo alto y 8 lesiones de riesgo bajo e intermedio. En promedio, han sido necesarias 9 llamadas para conseguir la aceptación de una persona adicional.

Discusión

La intervención telefónica de los profesionales de Atención Primaria ha aumentado de forma significativa la tasa de participación de la población y la detección de neoplasias con respecto al protocolo habitual del PDPCCR.

Palabras clave:
Cáncer colorrectal
Cribado de cáncer
Participación de la población
Atención Primaria
Prevención secundaria

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