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  • 1
    Online Resource
    Online Resource
    Effects of Attendance to an Organized Fecal Immunochemical Test Screening Program on the Risk of Colorectal Cancer: An Observational Cohort Study
    Elsevier BV ; 2022
    In:  Clinical Gastroenterology and Hepatology Vol. 20, No. 10 ( 2022-10), p. 2373-2382
    Details
    In: Clinical Gastroenterology and Hepatology, Elsevier BV, Vol. 20, No. 10 ( 2022-10), p. 2373-2382
    Type of Medium: Online Resource
    ISSN: 1542-3565
    URL: Article
    DOI: 10.1016/j.cgh.2022.01.053
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
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  • 2
    Online Resource
    Online Resource
    How a faecal immunochemical test screening programme changes annual colorectal cancer incidence rates: an Italian intention-to-screen study
    Springer Science and Business Media LLC ; 2022
    In:  British Journal of Cancer Vol. 127, No. 3 ( 2022-08-01), p. 541-548
    Details
    In: British Journal of Cancer, Springer Science and Business Media LLC, Vol. 127, No. 3 ( 2022-08-01), p. 541-548
    Abstract: This study aimed to evaluate the effectiveness of a biennial faecal immunochemical test (FIT) screening programme in reducing annual colorectal cancer (CRC) incidence in its dynamic target population. Methods The target population included over 1,000,000 persons aged 50–69 living in a region of northern Italy. The average annual response rate to invitation was 51.4%. Each observed annual age-standardised (Europe) rate per 100,000 persons between 2005, the year of introduction of the programme, and 2016 was compared with each expected annual rate as estimated with age-period-cohort (men) and age-period (women) models. Results For both sexes, the rates observed in 1997–2004 and those expected in 2005–2016 were stable. Observed rates increased in 2005, peaked in 2006 (the first full year of screening), dropped significantly below the expected level in 2009, and continued to decrease until 2013 (the eighth full year), after which no further significant changes occurred. In the pooled years 2013–2016, the observed incidence rate per 100,000 persons was 102.2 [95% CI: 97.4, 107.1] for men, 75.6 [95% CI: 71.6, 79.7] for women and 88.4 [95% CI: 85.3, 91.5] for both sexes combined, with an observed:expected incidence rate ratio of 0.68 [95% CI: 0.65, 0.71] , 0.79 [95% CI: 0.76, 0.82] and 0.72 [95% CI: 0.66, 0.81] , respectively. Discussion The study provided multiple consistent proofs of a causal relationship between the introduction of screening and a stable 28% decrease in annual CRC incidence after eight years.
    Type of Medium: Online Resource
    ISSN: 0007-0920 , 1532-1827
    URL: Article
    DOI: 10.1038/s41416-022-01813-7
    RVK:
    XA 33500
    RVK:
    XA 10000
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2002452-6
    detail.hit.zdb_id: 80075-2
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  • 3
    Online Resource
    Online Resource
    Subsequent attendance in a breast cancer screening program after a false-positive result in the Local Health Authority of Bologna (Italy)
    Springer Science and Business Media LLC ; 2021
    In:  Scientific Reports Vol. 11, No. 1 ( 2021-04-20)
    Details
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2021-04-20)
    Abstract: We conducted a cross-sectional study to assess the likelihood of returning for routine breast cancer screening among women who have experienced a false-positive result (FPR) and to describe the possible individual and organizational factors that could influence subsequent attendance to the screening program. Several information were collected on demographic and clinical characteristics data. Electronic data from 2014 to 2016 related to breast screening program of the Local Health Authority (LHA) of Bologna (Italy) of women between 45 and 74 years old were reviewed. A total of 4847 women experienced an FPR during mammographic screening and were recalled to subsequent round; 80.2% adhered to the screening. Mean age was 54.2 ± 8.4 years old. Women resulted to be less likely to adhere to screening if they were not-Italian ( p  = 0.001), if they lived in the Bologna district ( p   〈  0.001), if they had to wait more than 5 days from II level test to end of diagnostic procedures ( p  = 0.001), if the diagnostic tests were performed in a hospital with the less volume of activity and higher recall rate (RR) ( p   〈  0.001) and if they had no previous participation to screening tests ( p   〈  0.001). Our results are consistent with previous studies, and encourages the implementation and innovation of the organizational characteristics for breast cancer screening. The success of screening programs requires an efficient indicators monitoring strategy to develop and evaluate continuous improvement processes.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    URL: Article
    DOI: 10.1038/s41598-021-87864-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2615211-3
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  • 4
    Online Resource
    Online Resource
    The Positive Effect of an Online Appointment Portal on a Breast Cancer Screening Program
    Georg Thieme Verlag KG ; 2023
    In:  Applied Clinical Informatics Vol. 14, No. 04 ( 2023-08), p. 609-619
    Details
    In: Applied Clinical Informatics, Georg Thieme Verlag KG, Vol. 14, No. 04 ( 2023-08), p. 609-619
    Abstract: Background The adoption of web-based appointment methods by health care systems is increasing. Objectives This study primarily aimed to evaluate in the setting of an organized breast cancer screening program the actual usage of an online appointment portal by the target population, i.e., how the online tool was used (type and timing of the actions performed) and by whom (users' characteristics); the effect of coronavirus disease 2019 (COVID-19) on its usage was also investigated. The effect of adopting this tool on the attendance to breast cancer screening was contextually investigated. Methods Electronic data records of 75,903 women (45–74 years old, residing in the territory of Bologna Local Health Authority) were retrospectively reviewed. Results In total, 12.4% of women logged into the online portal at least once. Most of them (79.9%) rescheduled, 15.7% viewed, and 4.4% cancelled their own appointment. In addition, 40.6% of all rescheduling actions were performed by the online portal; the remaining was performed by the toll-free number/dedicated email address. The highest peak (13.8%) of web accesses was registered at 10 a.m. Monday to Friday, when the toll-free number service is available. Percentages of portal usage were higher: (1) among the younger women, of Italian nationality, and for the first time invited to mammographic screening (p  〈  0.0001), and (2) in the pandemic period versus the prepandemic period (12.5 vs. 8.6%, respectively; p  〈  0.001). Finally, when compared to not using, the online portal usage led to an overall reduction in the no-show rate of almost 20% (p  〈  0.0001). Conclusion The action mainly performed by using the online appointment portal was the appointment rescheduling. The usage of this tool had a positive effect on the no-show rate and it can be speculated that has led to a reduction of the request load to be handled by the center's screening staff. Finally, this study confirmed that the COVID-19 pandemic boosted the use of digital technologies.
    Type of Medium: Online Resource
    ISSN: 1869-0327
    URL: Article
    DOI: 10.1055/s-0043-1769910
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2023
    detail.hit.zdb_id: 2540042-3
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  • 5
    Online Resource
    Online Resource
    Integration of community pharmacies in an Italian colorectal cancer screening program: insights from the Local Health Authority of Bologna
    OAE Publishing Inc. ; 2024
    In:  Journal of Cancer Metastasis and Treatment Vol. 10 ( 2024), p. 9-
    Details
    In: Journal of Cancer Metastasis and Treatment, OAE Publishing Inc., Vol. 10 ( 2024), p. 9-
    Abstract: In Italy, a nationwide population-based colorectal cancer (CRC) screening initiative has been in place since 2006. In recent years, there has been a growing interest in involving community pharmacies in this activity. This commentary provides an insightful analysis of the integration between the screening program of the Local Health Authority (LHA) of Bologna (Northern Italy) and community pharmacies. A horizontal integration at the micro level with service and clinical integrations supported by meso-level policy (regional authority) was applied. Four types of integration such as normative, informational, financial and functional serving as enablers were implemented. A high level of depth of consensus, connectivity, communication, and trust was pursued. The program achieved large participation from community pharmacies, with 91.1% (n = 234) of pharmacies in the LHA territory actively participating. On average, each pharmacy served 1,228 (range, 1,021-1,519) target citizens. Between 2021 (the first full year under the community pharmacy model) and 2022, pharmacies delivered an annual mean of 68,295 kits (range, 12-840). In 2021, there was a remarkably high level of screening completion, with 93.7% of fecal immunochemical tests being returned to pharmacies. This percentage increased by 3.3% in 2022. In our setting, pharmacy involvement improved service quality by introducing complete traceability of kits and specimen flow, as well as temperature control. It also led to a 4.6% increase in attendance rates compared to the previous organizational model (61.6% vs. 57%; P 〈 0.001). Finally, additional European experiences involving community pharmacies in organized CRC screening programs, resembling the Bologna setting, are reported.
    Type of Medium: Online Resource
    ISSN: 2394-4722 , 2454-2857
    URL: Journal
    URL: Article
    DOI: 10.20517/2394-4722
    DOI: 10.20517/2394-4722.2023.118
    Language: Unknown
    Publisher: OAE Publishing Inc.
    Publication Date: 2024
    detail.hit.zdb_id: 2819994-7
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  • 6
    Online Resource
    Online Resource
    Psychosocial Predictors of Colorectal Cancer Screening Intention: An Experiment on the Invitation Letter
    Springer Science and Business Media LLC ; 2022
    In:  International Journal of Behavioral Medicine
    Details
    In: International Journal of Behavioral Medicine, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 1070-5503 , 1532-7558
    URL: Article
    DOI: 10.1007/s12529-022-10142-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2027575-4
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  • 7
    Online Resource
    Online Resource
    Applying the healthcare failure mode and effects analysis approach to improve the quality of an organised colorectal cancer screening programme
    SAGE Publications ; 2023
    In:  Journal of Medical Screening
    Details
    In: Journal of Medical Screening, SAGE Publications
    Abstract: The first level of a colorectal cancer (CRC) screening process was systematically analysed using the Healthcare Failure Mode and Effects Analysis (HFMEA) approach by a multidisciplinary team aiming to improve the programme quality. Setting The study was conducted at the Local Health Authority of Bologna, Northern Italy. Methods Seven brainstorming sessions were conducted and all the activities performed were recorded on a FMEA worksheet consisting of individual records reporting the specific phases of the analysed process along with associated activities, possible failure modes, their causes and effects, the obtained risk priority numbers (RPNs) and the control measures to plan. Results Twenty-three failure modes, 14 effects and 12 possible causes were identified. Nine failure modes were prioritised according to the RPN obtained; most resulted in possible false-negative faecal immunochemical test (FIT) results (66.7%), followed by sample loss (22.2%) and not reaching the entire target population (11.1%). This leads to 66.7% of corrective/preventive actions being applied to the phase of returning the stool sample by the citizen. For this phase reorganisation, the local pharmacies were involved not only as FIT kit delivery points but also as specimen collection and sending points to the laboratory. These organisational changes allowed the introduction of complete traceability of kits and specimens flow, as well as temperature control. A re-evaluation of the prioritised failure modes 6 months after launching the implemented screening process showed that HFMEA application decreased the risk of potential errors by 75.9%. Conclusion HFMEA application in CRC screening programme is a useful tool to reduce potential errors.
    Type of Medium: Online Resource
    ISSN: 0969-1413 , 1475-5793
    URL: Article
    DOI: 10.1177/09691413231197300
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2058901-3
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