Evaluation of the Algerian pilot program of colorectal cancer screening by immunological test

Abstract

The results of various randomized clinical trials have led to the establishment of pilot or organized colorectal cancer screening programs in several countries. To date, there is no mass screening program or strategy for colorectal cancer in Algeria for the average risk population. Thus, our work problematic was composed: mainly on the feasibility of implementing a colorectal cancer screening program. The objective of our study is to carry out an organized mass screening strategy for colorectal cancers in the wilaya of Bejaia as a pilot project within the framework of the 2015-2019 cancer plan. The criterion of judgment of this program established is the Rate of participation (TP) of the target population which must be higher or equal to 40%. The program developed is evaluated by performance indicators. The participation rate was 30.02%. 17(6‰) people are screened for colorectal cancer. The mean age of his patients is 59.76 years +/- 8.2, a median of 57 years and a mode equal to 50 years.24.24% people with advanced adenomas.At the end of our study in this pilot wilaya designated by the 2015-2019 cancer plan, it appears that the organized screening program is feasible subject to the following conditions: - Expand the pilot phase of a population-based screening in other sites in Algeria. - Institutionalize the colorectal cancer screening program at the local and national levels. - Provide a dedicated budget for this project. - Create a colorectal cancer mortality registry at the regional and national levels