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Country fact sheet: Belgium

COLORECTAL CANCER SCREENING PROGRAMME

Reporting year for qualitative data: 2016
Source of qualitative data: Other (EU Report 2017)

Organization of screening

An individual/team/institution responsible to coordinate the programme: Yes
Dedicated budget for screening programme: Yes
Documented cancer screening policy: Yes
Nature of documentation of the policy: Recommendation
Year programme was initiated: 2009
Programme introduction was preceded by a pilot: -
Screening tests provided free of charge: Yes
Diagnostic tests provided free of charge: -
Treatment services provided free of charge: -

Information system and data collection

System that collects data: Individual & Aggregated
   • Identification of eligible population: -
   • Screening participation: -
   • Screening test results: -
   • Further assessment: -
   • Final pathology diagnosis: -
   • Cancer staging: -
   • Treatment: -
The information system exists at national or sub-national level: Individual: Unknown
Aggregated: Unknown
The information system collects data outside the programme (opportunistic screening/private sector): -
Cancer screening data is linked with population-based cancer registry (PBCR): Yes

Screening protocol

A screening protocol or guideline: -
Year of published/updated protocol: -
Target age (min-max) and screening interval [months] for each test: FIT (50-74 years / [24 months])
Colonoscopy (- years / [120 months])

Invitations for screening and further assessment

Initiatives to create population awareness by the Health Ministry/Health Authority: -
Invitations to eligible population: Yes
Source of the eligible individuals identified:
Method of invitation: Letter
Screening kit included with the invitation: Yes
Screen positive individuals actively contacted for further assessment: No
Individuals with a precancer or cancer diagnosis actively contacted: -

Quality Assurance (QA) of screening activities

Documented standard operating procedure/policy for QA: Yes
An individual/team/institution responsible for QA: Yes
Accreditation of endoscopy units: -
Accreditation of pathology services: -
Documented performance indicators: Yes
Reference standards for performance indicators: -
Evaluation reports published in the last five years: Yes

Performance indicators

Reporting year for quantitative data: 2016
Source of quantitative data: Report (EU Report 2017)

FIT gFOBT Sigmoidoscopy   Colonoscopy
Target age and regional limitation if applicable: 50-74 (Flanders) 50-74 (Wallonia)
Invitation coverage (%): 93.0 123.8
Participation rate (%): 50.3 4.5
Examination coverage (%): 46.7 5.6
Completeness of data related to screening results (%): 100.0 97.9
Completeness of data related to information about attendance to colonoscopy assessment (%): 100.0 100.1
Further assessment (diagnosis colonoscopy) rate (%): 8.1 3.9
Further assessment participation rate (%): 36.3 72.6
Detection rate of adenomas (x 1000): 6.8
Detection rate of advanced adenomas (x 1000): 4.75
Detection rate of colorectal cancers (x 1000): 2.0
Positive Predictive Value of further assessment to detect adenomas (%): 23.1
Positive Predictive Value of further assessment to detect advanced adenomas (%): 16.0
Positive Predictive Value of further assessment to detect colorectal cancers (%): 6.7
More quantitative data for FIT (Male - Flanders: 2014)
More quantitative data for FIT (Women - Flanders: 2014)
More quantitative data for gFOBT (Male - Wallonia: 2014)
More quantitative data for gFOBT (Women - Wallonia: 2014)


Check also the following factsheets: Belgium, Breast, Cervical