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CanScreen5, a global repository for breast, cervical and colorectal cancer screening programs

  • Li Zhang
  • , Isabel Mosquera
  • , Eric Lucas
  • , Mary Luz Rol
  • , Andre L. Carvalho
  • , Partha Basu
  • , Daniel Sadowski
  • , Bartlett Natasha
  • , Alison Budd
  • , Ashrafun Nessa
  • , Isabel De Brabander
  • , Annemie Haelens
  • , Sarah Pringels
  • , Jonas Tairo
  • , Solveig Hofvind
  • , J. B. Burrion
  • , Zdravka Valerianova
  • , Jill Tinmouth
  • , Cindy Law
  • , Simbi Ebenuwah
  • Bronwen McCurdy, Beata Janik, George Pupwe, Linn Fenna Groeneveld, Gry Baadstrand Skare, Penelope Layne, Tytti Sarkeala, Mwate Joseph Chaila, Michal Kaminski, Beata Kinel, Jolanta Lissowska, Inga Mumukunde, Vitor Rodrigues, Robinson Rodríguez, Elena Pérez Sanz, Raquel Zubizarreta Alberdi, Guglielmo Ronco, Nataša Antoljak, Dinka Nakić, Davor Plazanin, Andrea Šupe Parun, Mat Goossens, Andrzej Nowakowski, Harry de Koning, Els Dams, Asha Martin, Mara Epermane, Nataļja Jankovska, Scott Antle, Jacques Fracheboud, Esther Toes-Zoutendijk, Heleen M.E. van Agt, Karen Budewig, Barbara Stomper, Ahti Anttila, Sorana McLeish, Alexandra Ramssl-Sauer, Georg Ziniel, Theopisti Kyprianou, Pavlos Pavlou, Fofo Kaliva, Maria Tsantidou, Shaokai Zhang, Huifang Xu, Wali Mushtaq, Biviana Paredes Barragán, Alexandra Montalvo, Ana Victoria de la Torre Santos, Marie Helene Guertin, Sarah Fournier, Nicolas Duport, Ondřej Májek, Ondřej Ngo, Urška Ivanuš, Katja Jarm, Maja Primic-Zakelj, Flávia de Miranda Corrêa, Arn Migowski, Marianna Cancela, Patricia Gallardo, Gisel Fattore, Adrián Puello, Víctor Polanco, Nieves Ascunce Elizaga, Valerie Fabri, Paola Mantellini, Marco Zappa, Eliane Kellen, Elsebeth Lynge, Vanessa Kääb-Sanyal, Daniela Malek, Youssef Chami, Rugile Ivanauskiene, Nensy Bandhoe, Claire Dillenbourg, Karin Heckters, Astrid Scharpantgen, Oris Mariela Ruiz, Geneva Mireya González, Elsa Arenas
    • International Agency for Research on Cancer
    • Cancer Care Ontario
    • Maria Sklodowska-Curie Institute of Oncology
    • Cancer Registry of Norway Institute of Population-Based Cancer Research
    • University of Coimbra
    • Croatian National Institute of Public Health
    • Erasmus University Rotterdam
    • Riga East University Hospital
    • Institute of Oncology Ljubljana
    • KU Leuven
    • University of Copenhagen

    Research output: Contribution to journalArticlepeer-review

    61 Citations (Scopus)

    Abstract

    The CanScreen5 project is a global cancer screening data repository that aims to report the status and performance of breast, cervical and colorectal cancer screening programs using a harmonized set of criteria and indicators. Data collected mainly from the Ministry of Health in each country underwent quality validation and ultimately became publicly available through a Web-based portal. Until September 2022, 84 participating countries reported data for breast (n = 57), cervical (n = 75) or colorectal (n = 51) cancer screening programs in the repository. Substantial heterogeneity was observed regarding program organization and performance. Reported screening coverage ranged from 1.7% (Bangladesh) to 85.5% (England, United Kingdom) for breast cancer, from 2.1% (Côte d’Ivoire) to 86.3% (Sweden) for cervical cancer, and from 0.6% (Hungary) to 64.5% (the Netherlands) for colorectal cancer screening programs. Large variability was observed regarding compliance to further assessment of screening programs and detection rates reported for precancers and cancers. A concern is lack of data to estimate performance indicators across the screening continuum. This underscores the need for programs to incorporate quality assurance protocols supported by robust information systems. Program organization requires improvement in resource-limited settings, where screening is likely to be resource-stratified and tailored to country-specific situations.

    Original languageEnglish
    Pages (from-to)1135-1145
    Number of pages11
    JournalNature Medicine
    Volume29
    Issue number5
    DOIs
    Publication statusPublished - May 2023

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    OECD Field of Science

    • 3. Medical and Health Sciences

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