Role of medico-administrative database in the selection of the target population in colorectal cancer screening program

Background: Colorectal cancer (CRC) screening in average-risk populations requires filtering a target population based on medical information in population-based CRC screening programs (CRCSP). This study describes the level of consensus in medical exclusion practice and the role of the medico-admin...

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Autores: Koïvogui, Akoï, Benamouzig, Robert, Balamou, Christian, Binefa i Rodríguez, Gemma, Hoeck, Sarah, Novak Mlakar, Dominika, Duclos, Catherine
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/222278
Acceso en línea:https://hdl.handle.net/2445/222278
Access Level:acceso abierto
Palabra clave:Càncer colorectal
Medicina preventiva
Colorectal cancer
Preventive medicine
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spelling Role of medico-administrative database in the selection of the target population in colorectal cancer screening programKoïvogui, AkoïBenamouzig, RobertBalamou, ChristianBinefa i Rodríguez, GemmaHoeck, SarahNovak Mlakar, DominikaDuclos, CatherineCàncer colorectalMedicina preventivaColorectal cancerPreventive medicineBackground: Colorectal cancer (CRC) screening in average-risk populations requires filtering a target population based on medical information in population-based CRC screening programs (CRCSP). This study describes the level of consensus in medical exclusion practice and the role of the medico-administrative databases (MADB) in accurately targeting the eligible individuals for CRCSP screening campaigns. Design: The descriptive study combined a cross-sectional survey and a non-systematic literature review. Methods: A cross-sectional survey was conducted among CRCSPs worldwide. Information was collected on the use of MADB for identifying consensus-based exclusion criteria (applied by >50% of CRCSPs). When a MADB was used, the study assessed whether the definition (code lists, medical terminologies) of the exclusion criteria was available. These definitions were compared between programs to evaluate the degree of consensus. Results: In all, 20 out of the 31 CRCSPs (Australia, England, Manitoba, Ontario, Washington State, 26 European countries) participating in the survey implemented medical exclusions. Five consensus-based exclusion criteria were identified (personal history of CRC, inflammatory bowel disease, adenoma, recent colonoscopy, genetic risk). However, these criteria were not uniformly defined in MADBs (i.e., CRC phenotype includes ICD-10 codes C18-C21 in Catalonia, while the C21 code was excluded elsewhere). Furthermore, although the MADBs exist and contain relevant information, they remain inaccessible to screening management structures in some countries (e.g., in France). Conclusion: The number of consensus-based criteria was limited, and they were the least nuanced, likely because they are easier to collect using the current CRCSPs management resources. These consensual criteria can be queried in most MADBs. However, the use of MADBs was not standardized across programs for various reasons (absence of a database, unavailability of information in the database when it exists, inaccessibility of the database when it exists), limiting comparability between them. Standardizing the five consensus criteria across all programs would only be effective if the disparity caused by systemic failures in the organization of each program was controlled.SAGE Publications2025202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion23 p.application/pdfhttps://hdl.handle.net/2445/222278Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1177/17562848251342340Therapeutic Advances in Gastroenterology, 2025, vol. 18https://doi.org/10.1177/17562848251342340cc-by-nc (c) Koïvogui, Akoï et al., 2025http://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2222782026-05-29T05:05:01Z
dc.title.none.fl_str_mv Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
title Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
spellingShingle Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
Koïvogui, Akoï
Càncer colorectal
Medicina preventiva
Colorectal cancer
Preventive medicine
title_short Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
title_full Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
title_fullStr Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
title_full_unstemmed Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
title_sort Role of medico-administrative database in the selection of the target population in colorectal cancer screening program
dc.creator.none.fl_str_mv Koïvogui, Akoï
Benamouzig, Robert
Balamou, Christian
Binefa i Rodríguez, Gemma
Hoeck, Sarah
Novak Mlakar, Dominika
Duclos, Catherine
author Koïvogui, Akoï
author_facet Koïvogui, Akoï
Benamouzig, Robert
Balamou, Christian
Binefa i Rodríguez, Gemma
Hoeck, Sarah
Novak Mlakar, Dominika
Duclos, Catherine
author_role author
author2 Benamouzig, Robert
Balamou, Christian
Binefa i Rodríguez, Gemma
Hoeck, Sarah
Novak Mlakar, Dominika
Duclos, Catherine
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Càncer colorectal
Medicina preventiva
Colorectal cancer
Preventive medicine
topic Càncer colorectal
Medicina preventiva
Colorectal cancer
Preventive medicine
description Background: Colorectal cancer (CRC) screening in average-risk populations requires filtering a target population based on medical information in population-based CRC screening programs (CRCSP). This study describes the level of consensus in medical exclusion practice and the role of the medico-administrative databases (MADB) in accurately targeting the eligible individuals for CRCSP screening campaigns. Design: The descriptive study combined a cross-sectional survey and a non-systematic literature review. Methods: A cross-sectional survey was conducted among CRCSPs worldwide. Information was collected on the use of MADB for identifying consensus-based exclusion criteria (applied by >50% of CRCSPs). When a MADB was used, the study assessed whether the definition (code lists, medical terminologies) of the exclusion criteria was available. These definitions were compared between programs to evaluate the degree of consensus. Results: In all, 20 out of the 31 CRCSPs (Australia, England, Manitoba, Ontario, Washington State, 26 European countries) participating in the survey implemented medical exclusions. Five consensus-based exclusion criteria were identified (personal history of CRC, inflammatory bowel disease, adenoma, recent colonoscopy, genetic risk). However, these criteria were not uniformly defined in MADBs (i.e., CRC phenotype includes ICD-10 codes C18-C21 in Catalonia, while the C21 code was excluded elsewhere). Furthermore, although the MADBs exist and contain relevant information, they remain inaccessible to screening management structures in some countries (e.g., in France). Conclusion: The number of consensus-based criteria was limited, and they were the least nuanced, likely because they are easier to collect using the current CRCSPs management resources. These consensual criteria can be queried in most MADBs. However, the use of MADBs was not standardized across programs for various reasons (absence of a database, unavailability of information in the database when it exists, inaccessibility of the database when it exists), limiting comparability between them. Standardizing the five consensus criteria across all programs would only be effective if the disparity caused by systemic failures in the organization of each program was controlled.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/222278
url https://hdl.handle.net/2445/222278
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1177/17562848251342340
Therapeutic Advances in Gastroenterology, 2025, vol. 18
https://doi.org/10.1177/17562848251342340
dc.rights.none.fl_str_mv cc-by-nc (c) Koïvogui, Akoï et al., 2025
http://creativecommons.org/licenses/by-nc/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Koïvogui, Akoï et al., 2025
http://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 23 p.
application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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