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Evidence, efficacy and effectiveness of screening for colorectal cancer with faecal occult blood tests




Taking into account the EU recommendations for cancer screening, a national policy for colorectal cancer screening was initiated in France. It was concluded that there was unequivocal evidence that repeated faecal occult blood testing reduces colorectal cancer mortality in asymptomatic subjects over 50. Structures and handling rules were proposed by the Ministry of Health and 22 areas, covering 25% of the population, were selected on their ability to organise the screening programme. A rigid organisation with a call-recall system participation of the general practitioners and quality insurance was set up in each administrative area. In some departments a compliance exceeding 50 % was reached. The time has come to implement well-organised population-based FOBT screenings.



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Jean Faivre