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Country fact sheet: Spain

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: Law
Year programme was initiated: 2000
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 (50-69 years / [24 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: Yes
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

Sub-national data is available for:
   • Basque Country (2020)

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
Invitation coverage (%): 16.4
Participation rate (%): 52.2
Examination coverage (%): 8.6
Completeness of data related to screening results (%): 99.8
Completeness of data related to information about attendance to colonoscopy assessment (%): 100.0
Further assessment (diagnosis colonoscopy) rate (%): 6.7
Further assessment participation rate (%): 90.7
Detection rate of adenomas (x 1000): 33.3
Detection rate of advanced adenomas (x 1000): 22.8
Detection rate of colorectal cancers (x 1000): 2.9
Positive Predictive Value of further assessment to detect adenomas (%): 55.2
Positive Predictive Value of further assessment to detect advanced adenomas (%): 37.8
Positive Predictive Value of further assessment to detect colorectal cancers (%): 4.9
More quantitative data for FIT (Male - 2013)
More quantitative data for FIT (Women - 2013)


Check also the following factsheets: Spain, Breast, Cervical