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:	2013
Programme introduction was preceded by a pilot:	-
Screening tests provided free of charge:	Yes
Diagnostic tests provided free of charge:	Yes
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 (55-66 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
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 (%):	127.1
Participation rate (%):	35.7
Examination coverage (%):	45.4
Completeness of data related to screening results (%):	99.6
Completeness of data related to information about attendance to colonoscopy assessment (%):	100.3
Further assessment (diagnosis colonoscopy) rate (%):	4.3
Further assessment participation rate (%):	66.4
Detection rate of adenomas (x 1000):	17.1
Detection rate of advanced adenomas (x 1000):
Detection rate of colorectal cancers (x 1000):	2.2
Positive Predictive Value of further assessment to detect adenomas (%):	60.7
Positive Predictive Value of further assessment to detect advanced adenomas (%):
Positive Predictive Value of further assessment to detect colorectal cancers (%):	7.9
More quantitative data (Both - 2013/FIT)

Check also the following factsheets: Malta, Breast, Cervical