Robert Steele|Ioanna Kostourou|Paula L. McClements|Christopher Watling|Gillian Libby|Deborah A. Weiler|David H. Brewster|Robert B. Black|Francis A. Carey|Callum G. Fraser
Effect of Gender, Age and Deprivation on Key Performance Indicators in a Fobt-based Colorectal Screening Programme
Ninewells Hospital|Ninewells Hospital|Ninewells Hospital|Ninewells Hospital|Ninewells Hospital|University of Edinburgh|National Health Service Scotland|Ninewells Hospital|University of Dundee|Ninewells Hospital
objectives assess effect gender age deprivation key performance indicators colorectal cancer screening programme setting march 2000 may 2006 demonstration pilot biennial guaiac faecal occult blood test gfobt colorectal screening carried northeast scotland individuals aged 5069 years methods relevant populations subdivided gender four age groups five deprivation categories according scottish index multiple deprivation simd key performance indicators analysed within groups results rounds uptake gfobt increased age p lt 0001 decreased increasing deprivation genders p lt 0001 consistently higher women men age simd groups addition increasing deprivation negatively associated uptake colonoscopy men positive gfobt p lt 0001 although effect observed women positivity rates increased age plt 0001 increasing deprivation p gt 0001 genders rounds although higher men women age simd categories cancer detection rates increased age p lt 0001 higher men women age simd categories consistently related deprivation genders positive predictive value ppv cancer increased age p lt 0001 decreased increasing deprivation p lt 0001 rounds consistently higher men women age simd categories conclusions populationbased colorectal screening programme gender age deprivation marked effects key performance indicators implications evaluation screening programmes strategies designed reduce inequalities