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Check also the following factsheets: Japan, Breast, Cervical
        
	
        Country fact sheet: Japan
COLORECTAL CANCER SCREENING PROGRAMME
| 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: | 1992 | 
| Programme introduction was preceded by a pilot: | No | 
| Screening tests provided free of charge: | No | 
| Diagnostic tests provided free of charge: | No | 
| Treatment services provided free of charge: | No | 
| Information system and data collection | |
| System that collects data: | Aggregated | 
| • Identification of eligible population: | - | 
| • Screening participation: | Aggregated | 
| • Screening test results: | Aggregated | 
| • Further assessment: | Aggregated | 
| • Final pathology diagnosis: | Aggregated | 
| • Cancer staging: | Aggregated | 
| • Treatment: | No | 
| The information system exists at national or sub-national level: | Individual: Unknown Aggregated: National | 
| The information system collects data outside the programme (opportunistic screening/private sector): | No | 
| 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: | 2008 | 
| Target age (min-max) and screening interval [months] for each test: | FIT (40-99 years / [12 months]) | 
| Invitations for screening and further assessment | |
| Initiatives to create population awareness by the Health Ministry/Health Authority: | Small media campaign Dedicated website | 
| Invitations to eligible population: | Other | 
| Source of the eligible individuals identified: | - | 
| Method of invitation: | - | 
| Screening kit included with the invitation: | - | 
| 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: | Yes | 
| Accreditation of pathology services: | Yes | 
| Documented performance indicators: | Yes | 
| Reference standards for performance indicators: | Yes | 
| Evaluation reports published in the last five years: | Yes | 
| Performance indicators | |
| Reporting year for quantitative data: | 2017 | 
| Source of quantitative data: | directly from programme | 
| FIT | gFOBT | Sigmoidoscopy | Colonoscopy | |
| Target age and regional limitation if applicable: | 40-99 years | |||
| Invitation coverage (%): | ||||
| Participation rate (%): | ||||
| Examination coverage (%): | 11.0 | |||
| Completeness of data related to screening results (%): | 100.0 | |||
| Completeness of data related to information about attendance to colonoscopy assessment (%): | ||||
| Further assessment (diagnosis colonoscopy) rate (%): | 7.5 | |||
| Further assessment participation rate (%): | 68.6 | |||
| Detection rate of adenomas (x 1000): | 12.6 | |||
| Detection rate of advanced adenomas (x 1000): | 1.9 | |||
| Detection rate of colorectal cancers (x 1000): | 1.8 | |||
| Positive Predictive Value of further assessment to detect adenomas (%): | 24.4 | |||
| Positive Predictive Value of further assessment to detect advanced adenomas (%): | 3.7 | |||
| Positive Predictive Value of further assessment to detect colorectal cancers (%): | 3.5 | |||
| More quantitative data (Male - 2017/FIT) | ||||
| More quantitative data (Women - 2017/FIT) | 
Check also the following factsheets: Japan, Breast, Cervical

