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@ARTICLE{Ola:302118,
      author       = {I. Ola$^*$ and R. Cardoso$^*$ and M. Hoffmeister$^*$ and H.
                      Brenner$^*$},
      title        = {{R}ecent trends in self-reported utilization of colonoscopy
                      and fecal occult blood test in {E}urope: analysis of the
                      {E}uropean {H}ealth {I}nterview {S}urveys 2013-2015 and
                      2018-2020.},
      journal      = {European journal of epidemiology},
      volume       = {40},
      issn         = {0393-2990},
      address      = {[Cham]},
      publisher    = {Springer Nature Switzerland AG},
      reportid     = {DKFZ-2025-01250},
      pages        = {767–778},
      year         = {2025},
      note         = {#EA:C070#LA:C070# / Volume 40, pages 767–778},
      abstract     = {Despite increasing implementation of colorectal cancer
                      (CRC) screening programs in Europe, utilization of screening
                      tests has varied significantly over the years. We examined
                      recent trends in the utilization of colonoscopy and fecal
                      occult blood test (FOBT), the primary tests recommended for
                      CRC screening, across European countries with various
                      screening programs. Population-based data from the second
                      and third waves of the European Health Interview Survey
                      (EHIS) were analyzed to determine changes in utilization of
                      fecal occult blood test within the preceding 2 years or
                      colonoscopy within the preceding 10 years among people aged
                      50-74 years between 2013-2015 and 2018-2020. Absolute
                      percentage changes (APC) in screening test use were
                      calculated in each country and subgroup meta-analyses were
                      conducted using random effects models to estimate the pooled
                      APCs and their $95\%$ confidence intervals across different
                      categories of screening offers. A total of 234,251
                      respondents across 28 European countries were included in
                      the analysis. The increase in use of either test was highest
                      among countries which fully rolled out nationwide organized
                      screening programs with fecal tests between 2013-2015 and
                      2018-2020 (increases ranging from $19.1\%$ units in Belgium
                      to $46.3\%$ units in The Netherlands) and was lowest among
                      countries with opportunistic offering of fecal test,
                      colonoscopy or flexible sigmoidoscopy (from - $3\%$ units in
                      Germany to + $12.2\%$ units in Slovakia). Changes in
                      screening programs were strongly associated with higher
                      rates of utilization of colonoscopy and fecal occult blood
                      test across all screening offers. Our findings highlight
                      that well-organized and dynamic population screening
                      strategies can rapidly and sustainably increase utilization
                      of CRC screening tests in Europe.},
      keywords     = {Cancer prevention and control (Other) / Cancer screening
                      (Other) / Colonoscopy (Other) / Colorectal cancer (Other) /
                      Fecal occult blood test (Other) / Utilization trends
                      (Other)},
      cin          = {C070 / HD01},
      ddc          = {610},
      cid          = {I:(DE-He78)C070-20160331 / I:(DE-He78)HD01-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40526328},
      doi          = {10.1007/s10654-025-01247-4},
      url          = {https://inrepo02.dkfz.de/record/302118},
}