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Arch Iran Med. 2024;27(8): 407-413.
doi: 10.34172/aim.31072
PMID: 39306711
PMCID: PMC11416694
Scopus ID: 85201917722
  Abstract View: 505
  PDF Download: 344

Original Article

Pattern of Participation in Colorectal Cancer Screening from a Population-Based Screening Program in Iran

Farimah Rahimi 1 ORCID logo, Reza Rezayatmand 1* ORCID logo, Elaheh Najafi 2, Zahra Ravankhah 3, Elham Tabesh 4, Peyman Adibi 4

1 Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 School of Public Health, Tehran University of Medical Science, Tehran, Iran
3 Cancer Registry of Health Deputy, Isfahan University of Medical Sciences, Isfahan, Iran
4 Isfahan Gastroenterology and Hepatology Research Center (IGHRC), Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Author: Reza Rezayatmand, Email: reza.rezayatmand@gmail.com

Abstract

Background: In Isfahan, the fecal immunochemical test (FIT) has been used since January 2016 as part of the Iran’s Package of Essential Non-communicable Diseases (IraPEN) program for colorectal cancer (CRC) screening. The test is recommended for people who are 50-70 years old. Then, those with positive results would be referred for colonoscopy. This study aims to describe the uptake of the program and its outcome.

Methods: A retrospective observational study was performed by collecting data from Isfahan Vice-Chancellor for Health database for this study purpose. The number of participators, the number of positive FIT, and the number of detected polyps or cancers were determined.

Results: Between 2016 and 2019, the number of participants in the program reached 345 207 individuals (nearly 40% of the eligible population of 874 674). Totally, 21 264 participants (6.1%) had positive tests, of whom about 20% underwent the recommended colonoscopy with available reports, and 971 (24%) and 110 (3%) patients were diagnosed with polyps and CRC, respectively.

Conclusion: Over four years of screening with FIT in Isfahan, 40% of the eligible population participated. Among those with positive FIT results, 20% underwent colonoscopy, and approximately 26% of these individuals were identified as having polyps or cancer. This study provides valuable insights into the uptake and outcomes of a population-based CRC screening program in Isfahan, Iran. The findings highlight the need for targeted interventions to increase participation rates and improve the detection of polyps and CRC cases.


Cite this article as: Rahimi F, Rezayatmand R, Najafi E, Ravankhah Z, Tabesh E, Adibi P. Pattern of participation in colorectal cancer screening from a population-based screening program in Iran. Arch Iran Med. 2024;27(8):407-413. doi: 10.34172/aim.31072
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Submitted: 18 Mar 2024
Accepted: 26 Jun 2024
ePublished: 01 Aug 2024
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