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Country fact sheet: Spain (Basque Country)


Reporting year for qualitative data: 2020
Source of qualitative data: Directly from Programme

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: Notification
Year programme was initiated: 2009
Programme introduction was preceded by a pilot: Yes, pilot evaluated and report published
Screening tests provided free of charge: Yes
Diagnostic tests provided free of charge: Yes
Treatment services provided free of charge: Yes

Information system and data collection

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

Screening protocol

A screening protocol or guideline: Yes
Year of published/updated protocol: 2017
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: Mass media campaign
Small media campaign
Group education
One-on-one education
Dedicated website
Invitations to eligible population: Yes
Source of the eligible individuals identified: Population register
Electorall roll
Other ()
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: Yes

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: No
Accreditation of pathology services: No
Documented performance indicators: Yes
Reference standards for performance indicators: Yes
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