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- W2912398976 abstract "Introduction Colorectal cancer (CRC) screening using faecal occult blood testing (FOBt) is effective in reducing mortality. However, more than 20% of all CRC cases present as an emergency due to bowel obstruction which is associated with poorer outcomes. The Welsh bowel screening programme, using biennial FOBt, has been running since October 2008 for people aged 60–69 years, since extended to 74 years. Previous data from an English site showed a decrease in mortality and emergency presentations of CRC. The impact of the Welsh bowel screening programme on emergency presentations for CRC is not known. Methods Welsh participants diagnosed with CRC aged 60–74 years between 1999 and 2015 were identified from the Welsh Cancer Intelligence and Surveillance Unit register. Data was extracted from the Patient Episode Database for Wales and Bowel Screening Wales to determine route to presentation and screening uptake. Other individual, geographical and cancer-related variables were also examined for their association with emergency presentation. The primary analysis compared emergency presentation for CRC prior to and after the implementation of screening. Results Preliminary analyses showed that 15 059 people were diagnosed with CRC, with data available for route to diagnosis on 13 022 (62% male, 38% female; mean age at diagnosis 67.7 years). The proportion of those presenting with CRC as an emergency prior to the screening programme implementation was greater than those presenting as emergencies after implementation. However, this needs to be interpreted in the context of 1) screening uptake differences over time, 2) stage differences at diagnosis over time, and 3) overall absolute numbers of cancers detected. Conclusions Preliminary analyses suggest that the implementation of screening has reduced the proportion of emergency presentations for CRC, but further interrogation of the data is needed to aid interpretation. The impact of demographic and clinical factors on emergency presentation will be discussed." @default.
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- W2912398976 date "2018-06-01" @default.
- W2912398976 modified "2023-09-26" @default.
- W2912398976 title "PTU-036 The impact of the welsh bowel screening programme on emergency presentation for colorectal cancer" @default.
- W2912398976 doi "https://doi.org/10.1136/gutjnl-2018-bsgabstracts.377" @default.
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