P-0191 - Is there a trend toward lower participation in colorectal cancer screening among certain populations?

Date 28 June 2014
Event World GI 2014
Session Poster Session
Topics Cancer Aetiology, Epidemiology, Prevention
Colon Cancer
Rectal Cancer
Presenter Jérôme Viguier
Citation Annals of Oncology (2014) 25 (suppl_2): ii14-ii104. 10.1093/annonc/mdu165
Authors J. Viguier1, F. Eisinger2, C. Touboul3, X. Pivot4, J. Blay5, Y. Coscas6, C. Lhomel7
  • 1CHRU Trousseau, Tours/FR
  • 2INSERM, Marseille/FR
  • 3KantarHealth, Montrouge/FR
  • 4CHU de Besançon, Besançon/FR
  • 5Centre Léon Bérard, Lyon/FR
  • 6Clinique de la Porte de Saint Cloud, Boulogne Billancourt/FR
  • 7Roche SAS, Boulogne-Billancourt/FR



The EDIFICE survey program began in 2005 and set out to provide a clearer insight into the participation of the French population in cancer screening programs. Since then, the surveys have been repeated every 3 years for breast, colorectal and prostate cancer. In 2013, we took the opportunity of a specific survey on breast cancer screening to also assess the most recent evolution in colorectal (CRC) screening participation.


EDIFICE surveys are conducted by phone interviews among a representative sample of 1600 subjects aged between 40 and 75 years, using the quota method. Since 2011, a validated questionnaire known as “EPICES” has been incorporated into the surveys to specifically study behaviors of the underserved/vulnerable subgroup. The targeted survey enrolled a representative sample of 451 women and was carried out in January 2013.


The rate of women attending at least one screening test for CRC was 26%, 37%, 60%, 61% in 2005/2008/2011/2013, respectively. We observed a stabilization in the CRC screening participation rate in the overall population from 2011 to 2013. However, certain discrepancies were seen to emerge when socio-demographic characteristics were taken into consideration. There was a significant increase in the screening participation rate in the 65-69 years age group (61% in 2011 vs. 80% in 2013, P < 0.05) and a trend toward stabilization or a decrease in the screening rate in younger groups. Women belonging to the higher socio-professional category (SPC+) showed a significant decrease in participation (64% in 2011 vs. 45% in 2013, P < 0.05) which was not seen in the lower category (54% vs. 52%, NS). Women belonging to the underserved group (EPICES score ≥30) reported a statistically significant drop in the CRC screening participation rate (65% in 2011 vs. 45% in 2013, P < 0.01) and a lower screening participation rate compared to the non-underserved group (45% vs. 67% in 2013, p < 0.01).


These results suggest a decline in the CRC screening participation rate over recent years in both the higher socio-professional category and in the underserved population. This trend will be verified in the forthcoming EDIFICE survey planned for 2014 on a larger sample population.