Colorectal cancer screening with fecal immunochemical testing or primary colonoscopy: inequities in diagnostic yield.

ABSTRACT:

Background

Socioeconomic inequalities in the uptake of colorectal cancer screening are well documented, but the implications on inequities in health gain remain unclear.

Methods

Sixty-year-olds were randomly recruited from the Swedish population between March 2014 and March 2020 and invited to undergo either 2 rounds of fecal immunochemical testing (FIT) 2 years apart (n = 60 137) or primary colonoscopy just once (n = 30 400). By linkage to Statistics Sweden's registries, we obtained socioeconomic data. In each defined socioeconomic group, we estimated the cumulative yield of advanced neoplasia in each screening arm (intention-to-screen analysis). In the biennial FIT arm, we predicted the probability of exceeding the yield in the primary colonoscopy arm by linear extrapolati

SUBMITTER: Bonander C 

PROVIDER: S-EPMC11187582 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature