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Colorectal cancer screening of immigrants to Italy. Figures from the 2013 National Survey

2015; Elsevier BV; Volume: 81; Linguagem: Inglês

10.1016/j.ypmed.2015.08.016

1096-0260

Anna Turrin, Manuel Zorzi, Paolo Giorgi Rossi, Carlo Senore, Cinzia Campari, Chiara Fedato, Carlo Naldoni, Emanuela Anghinoni, Giuliano Carrozzi, Priscilla Sassoli de Bianchi, Marco Zappa, Manuela Di Giacomo, Angelo Sigillito, Liliana Rizzo, Giovanna Luciano, Carlo Naldoni, Nora Coppola, Alessandra Barca, G. Paoli, L Bonelli, Liliana Cóppola, Lucia Di Furia, Giuseppe Cecere, Nereo Segnan, Antonio Fanolla, Silvano Piffer, Cinzia Germinario, Pierina Tanchis, Gabriella Dardanoni, Paola Mantellini, Mariadonata Giaimo, Gabriella Furfaro, Manuel Zorzi,

Genetic factors in colorectal cancer

Colorectal cancer screening programmes in Italy invite 50–69-year-old residents for a faecal immunochemical test every two years, regardless of their citizenship. The 2013 National Survey on Italian colorectal cancer screening programmes compared immigrants born in low- or middle-income countries with subjects who were born in Italy, by collecting aggregated data on compliance, faecal immunochemical test results, compliance with colonoscopy, detected lesions and stage at diagnosis separately for Italians and immigrants. Overall, 85 screening programmes invited 3,292,451 subjects, of whom 192,629 had been born abroad (5.9%). Compliance with invitation was lower in immigrants (34.3% vs. 51.3% in Italians), with p < 0.001. Compliance was higher in females, regardless of the country of birth, in the youngest age group of immigrants but in the oldest of Italians. Immigrants showed a borderline excess of standardised faecal immunochemical test positivity rate at first screening (5.4% vs. 5.1% in Italians, p = 0.05) and a significant excess at repeat screenings (4.8% vs. 4.4%, p = 0.002). The detection rates for carcinoma and advanced adenomas were lower in immigrants than in Italians at first screening (respectively 1.34‰ vs. 1.62‰ and 8.41‰ vs. 9.25‰) — although the differences were not statistically significant — but not at repeat screening (respectively 1.06‰ vs. 0.98‰ and 6.90‰ vs. 6.79‰). Migrants showed a lower compliance with screening than Italians. The prevalence of neoplasia was lower at first screening and similar to the Italians' at repeat screenings.