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oai:recercat.cat:2445/2285412026-04-08T14:17:18Zcom_2072_1057col_2072_478798col_2072_478917

CanScreen5, a global repository for breast, cervical and colorectal cancer screening programs Zhang, Li Mosquera, Isabel Lucas, Eric Rol, Mary Luz Carvalho, André L. Basu, Partha CanScreen5 collaborators Borràs Andrés, Josep Maria Informàtica mèdica Tecnologia mèdica Medical informatics Medical technology The CanScreen5 project is a global cancer screening data repository that aims to report the status and performance of breast, cervical and colorectal cancer screening programs using a harmonized set of criteria and indicators. Data collected mainly from the Ministry of Health in each country underwent quality validation and ultimately became publicly available through a Web-based portal. Until September 2022, 84 participating countries reported data for breast (n = 57), cervical (n = 75) or colorectal (n = 51) cancer screening programs in the repository. Substantial heterogeneity was observed regarding program organization and performance. Reported screening coverage ranged from 1.7% (Bangladesh) to 85.5% (England, United Kingdom) for breast cancer, from 2.1% (Côte d’Ivoire) to 86.3% (Sweden) for cervical cancer, and from 0.6% (Hungary) to 64.5% (the Netherlands) for colorectal cancer screening programs. Large variability was observed regarding compliance to further assessment of screening programs and detection rates reported for precancers and cancers. A concern is lack of data to estimate performance indicators across the screening continuum. This underscores the need for programs to incorporate quality assurance protocols supported by robust information systems. Program organization requires improvement in resource-limited settings, where screening is likely to be resource-stratified and tailored to country-specific situations. 2026-03-26T17:37:22Z 2026-03-26T17:37:22Z 2023 2026-03-26T17:37:23Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 1078-8956 https://hdl.handle.net/2445/228541 736061 37106168 eng Reproducció del document publicat a: https://doi.org/10.1038/s41591-023-02315-6 Nature Medicine, 2023, vol. 29, num.5, p. 1135-1145 https://doi.org/10.1038/s41591-023-02315-6 cc-by (c) Zhang L., et al., 2023 https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess 23 p. application/pdf Nature Publishing Group Articles publicats en revistes (Ciències Clíniques)