Ethnicity : UK colorectal cancer screening pilot : final report
Szczepura, Ala, Johnson, Mark R. D. (Mark Robert Dunmore), 1948-, Orbell, Sheina, Gumber, Anil, O'Sullivan, I. (Ian), Clay, Diane and Owen, David (David W.) (2003) Ethnicity : UK colorectal cancer screening pilot : final report. [London]: [Department of Health]. (Final report).
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Official URL: http://www.cancerscreening.nhs.uk/colorectal/ethni...
27. In summary, the overall evaluation of the UK Pilot has demonstrated that key parameters of test and programme performance observed in randomised studies of FOBt screening can be repeated in population-based pilot programmes. However, our study provides strong evidence of very low CRC screening uptake for ethnic groups in the Pilot area. This is coupled with a very low uptake of colonoscopy for individuals from ethnic groups with a positive FOBt result. 28. It has long been acknowledged that a diverse population may require diverse responses. Following the implementation of the Race Relations Amendment Act 2000, there has been a statutory duty laid upon all NHS agencies to ‘have due regard to the need to eliminate unlawful discrimination’, and to make explicit consideration of the implications for racial equality of every action or policy. 29. Because the observed overall outcomes in the UK Pilot generally compare favourably with the results of previous randomised trials of FOBt screening, the main Evaluation Group has concluded that benefits observed in the trials should be repeatable in a national roll-out. 30. However, our study indicates that any national colorectal cancer screening programme would need to very carefully consider the implications of ethnicity for roll-out, and develop a strategic plan on how best to accommodate this at both a national and local level. Based on our findings, consideration will clearly need to be given to improved access and screening service provision for ethnic minorities. 31. In order to ensure adequate CRC screening provision for a diverse UK population, and to address the explicit implications for racial equality highlighted by our findings, interventions now urgently need to be evaluated to improve access for ethnic minorities. This work should be undertaken as part of the second round of CRC screening currently underway in the English Pilot.
|Subjects:||R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
|Divisions:||Faculty of Medicine > Warwick Medical School > Clinical Sciences Research Institute (CSRI)
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Colon (Anatomy) -- Cancer, Rectum -- Cancer, Medical screening, Minority health -- Great Britain|
|Series Name:||Final report|
|Publisher:||[Department of Health]|
|Place of Publication:||[London]|
|Number of Pages:||96|
|Status:||Not Peer Reviewed|
|Access rights to Published version:||Open Access|
|Description:||Final version (as published)|
|References:||Peach, G.C.K. (1996) ‘Does Britain have ghettos?’, Transactions of the Institute of British Geographers (new series), 21, 216-235. Timms, D. (1971) The Urban Mosaic: towards a theory of residential differentiation (Cambridge: CUP). 93|
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