Table 2.
Time to colonoscopy after positive FIT by year of completion of the positive screening test.
| Characteristics | Year of completion of the positive screening FIT. | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2017 | 2018 | 2019 | 2020 | P1* | P2** | |||||
| Nb of colo (% TC ≤ 1 month) | ATC [CI95 %] | Nb of colo (% TC ≤ 1 month) | ATC [CI95 %] | Nb of colo (% TC ≤ 1 month) | ATC [CI95 %] | Nb of colo (% TC ≤ 1 month) | ATC [CI95 %] | |||
| Overall | 11 529 (9.1) | 3.3 [3.2 ; 3.4] | 13 346 (8.5) | 3.3 [3.2 ; 3.3] | 7881 (5.7) | 3.6 [3.5 ; 3.7] | 11 040 (6.7) | 3.5 [3.4 ; 3.6] | <10-3 | <10-3 |
| Gender | ||||||||||
| Female | 5244 (9.7) | 3.3 [3.2 ; 3.4] | 6222 (9.0) | 3.2 [3.1 ; 3.2] | 3732 (6.1) | 3.5 [3.4 ; 3.6] | 5252 (6.6) | 3.5 [3.4 ; 3.5] | <10-3 | <10-3 |
| Male | 6285 (8.6) | 3.3 [3.2 ; 3.4] | 7124 (8.1) | 3.3 [3.3 ; 3.4] | 4149 (5.3) | 3.6 [3.5 ; 3.7] | 5788 (6.8) | 3.5 [3.5 ; 3.6] | <10-3 | <10-3 |
| Age (year) | ||||||||||
| 50 - 54 | 2816 (8.7) | 3.5 [3.3 ; 3.6] | 2705 (8.3) | 3.5 [3.3 ; 3.6] | 1760 (6.1) | 3.6 [3.4 ; 3.7] | 2345 (6.7) | 3.7 [3.6 ; 3.8] | <10-3 | 0.19 |
| 55 – 59 | 2127 (8.7) | 3.2 [3.1 ; 3.4] | 2514 (9.2) | 3.4 [3.2 ; 3.5] | 1556 (4.1) | 3.8 [3.6 ; 4.0] | 2108 (5.8) | 3.5 [3.4 ; 3.6] | <10-3 | <10-3 |
| 60 – 64 | 2256 (9.7) | 3.2 [3.1 ; 3.4] | 2693 (8.1) | 3.1 [3.0 ; 3.3] | 1536 (5.0) | 3.5 [3.3 ; 3.7] | 2156 (6.7) | 3.5 [3.4 ; 3.6] | <10-3 | <10-3 |
| 65 - 69 | 2476 (9.6) | 3.2 [3.2 ; 3.4] | 2875 (9.0) | 3.2 [3.1 ; 3.3] | 1502 (6.2) | 3.4 [3.2 ; 3.5] | 2179 (7.8) | 3.4 [3.3 ; 3.5] | <10-3 | 0.008 |
| ≥ 70 | 1854 (9.1) | 3.2 [3.1 ; 3.3] | 2559 (8.1) | 3.1 [3.0 ; 3.2] | 1527 (6.9) | 3.6 [3.4 ; 3.7] | 2252 (6.3) | 3.4 [3.3 ; 3.5] | <10-3 | <10-3 |
| Nb of previous FIT | ||||||||||
| 0 | 4717 (9.5) | 3.5 [3.4 ; 3.6] | 4150 (8.8) | 3.5 [3.4 ; 3.6] | 2343 (6.1) | 3.7 [3.5 ; 3.8] | 3091 (6.7) | 3.6 [3.5 ; 3.7] | <10-3 | 0.34 |
| 1 | 2183 (9.1) | 3.3 [3.2 ; 3.5] | 2683 (7.6) | 3.3 [3.2 ; 3.4] | 1894 (5.3) | 3.6 [3.5 ; 3.8] | 2265 (6.1) | 3.6 [3.5 ; 3.7] | <10-3 | <10-3 |
| ≥ 2 | 4629 (8.8) | 3.1 [3.0 ; 3.2] | 6513 (8.7) | 3.1 [3.0 ; 3.1] | 3644 (5.6) | 3.5 [3.4 ; 3.6] | 5684 (6.8) | 3.4 [3.4 ; 3.5] | <10-3 | <10-3 |
| Health Insurance Schemes | ||||||||||
| General schemes | 9674 (9.5) | 3.3 [3.2 ; 3.4] | 11 261 (8.7) | 3.3 [3.2 ; 3.3] | 6737 (5.5) | 3.6 [3.5 ; 3.7] | 9795 (6.9) | 3.5 [3.4 ; 3.5] | <10-3 | <10-3 |
| MGEN/MFP | 974 (8.1) | 3.2 [3.0 ; 3.4] | 1033 (8.1) | 3.2 [2.9 ; 3.2] | 563 (7.8) | 3.3 [3.0 ; 3.6] | 614 (5.5) | 3.4 [3.2 ; 3.6] | 0.001 | 0.12 |
| RATP/SNCF | 199 (5.0) | 3.1 [2.7 ; 3.5] | 204 (4.9) | 3.2 [2.8 ; 3.5] | 137 (7.3) | 4.0 [3.3 ; 4.6] | 153 (5.9) | 3.5 [3.1 ; 3.9] | 0.04 | 0.02 |
| Other schemes | 682 (6.9) | 3.4 [3.1 ; 3.6] | 848 (7.3) | 3.4 [3.2 ; 3.6] | 444 (5.0) | 3.5 [3.2 ; 3.8] | 478 (4.6) | 3.7 [3.4 ; 3.9] | 0.005 | 0.33 |
| Place of colonoscopy completion | ||||||||||
| Private clinic in IDF | 7387 (9.7) | 3.1 [3.0 ; 3.2] | 8336 (9.2) | 3.1 [3.0 ; 3.1] | 4825 (6.5) | 3.4 [3.3 ; 3.5] | 6944 (7.4) | 3.4 [3.3 ; 3.5] | <10-3 | <10-3 |
| Private hospital in IDF | 1816 (11.9) | 3.2 [3.0 ; 3.3] | 2395 (9.6) | 3.1 [3.0 ; 3.3] | 1432 (5.3) | 3.5 [3.4 ; 3.7] | 2089 (7.2) | 3.4 [3.2 ; 3.5] | <10-3 | <10-3 |
| Paris University Hospital Center | 458 (4.6) | 4.8 [4.5 ; 5.2] | 512 (5.1) | 4.5 [4.2 ; 4.9] | 285 (3.5) | 4.7 [4.3 ; 5.1] | 419 (3.6) | 4.5 [4.2 ; 4.8] | 0.84 | 0.48 |
| Others public hospital in IDF | 1208 (4.3) | 4.0 [3.8 ; 4.2] | 1352 (4.7) | 4.0 [3.8 ; 4.2] | 905 (2.8) | 4.1 [3.8 ; 4.3] | 926 (3.1) | 4.2 [4.0 ; 4.3] | <10-3 | 0.69 |
| Another France region | 196 (5.1) | 4.0 [3.4 ; 4.6] | 284 (4.6) | 3.9 [3.4 ; 4.3] | 181 (2.2) | 4.6 [4.0 ; 5.1] | 285 (2.8) | 3.9 [3.6 ; 4.3] | 0.30 | 0.17 |
| Unspecified place | 464 (8.4) | 3.4 [3.0 ; 3.8] | 467 (7.9) | 3.1 [2.9 ; 3.4] | 253 (7.9) | 3.2 [2.8 ; 3.6] | 377(4.8) | 3.2 [2.9 ; 3.4] | 0.61 | 0.70 |
| Proximity of the place | ||||||||||
| Patient's municipality of residence | 3259 (10.0) | 3.1 [3.0 ; 3.2] | 3779 (8.9) | 3.1 [3.0 ; 3.2] | 2116 (6.1) | 3.3 [3.2 ; 3.4] | 3176 (7.2) | 3.4 [3.3 ; 3.5] | <10-3 | <10-3 |
| Other municipalities in the patient's department of residence | 5611 (7.9) | 3.4 [3.3 ; 3.5] | 6456 (8.2) | 3.3 [3.2 ; 3.4] | 3807 (5.0) | 3.8 [3.6 ; 3.9] | 5221 (6.4) | 3.6 [3.5 ; 3.7] | <10-3 | <10-3 |
| Other departments in the IDF | 1998 (11.7) | 3.4 [3.2 ; 3.5] | 2360 (9.4) | 3.3 [3.2 ; 3.4] | 1524 (6.6) | 3.5 [3.4 ; 3.7] | 1980 (7.6) | 3.5 [3.3 ; 3.6] | <10-3-3 | 0.20 |
| Density GE/5000Hbts in patient's municipality of residence | ||||||||||
| No GE | 5080 (8.3) | 3.3 [3.2 ; 3.4] | 5921 (7.7) | 3.3 [3.2 ; 3.4] | 3684 (5.2) | 3.6 [3.5 ; 3.8] | 4892 (6.4) | 3.6 [3.5 ; 3.7] | <10-3-3-3 | <10-3-3 |
| Low density | 2674 (8.6) | 3.5 [3.3 ; 3.6] | 2904 (8.8) | 3.4 [3.2 ; 3.5] | 1596 (5.9) | 3.6 [3.5 ; 3.8] | 2444 (6.1) | 3.5 [3.4 ; 3.6] | <10-3 | 0.10 |
| Average Density | 560 (7.9) | 3.4 [3.1 ; 3.7] | 770 (11.1) | 3.1 [2.9 ; 3.4] | 516 (4.5) | 3.5 [3.3 ; 3.8] | 545 (7.5) | 3.4 [3.2 ; 3.6] | <10-3 | 0.14 |
| High density | 3215 (11.1) | 3.1 [3.0 ; 3.2] | 3751 (9.1) | 3.1 [3.0 ; 3.2] | 2085 (6.7) | 3.5 [3.3 ; 3.6] | 3159 (7.4) | 3.4 [3.3 ; 3.5] | <10-3 | <10-3 |
*Pearson's Chi-square comparing the proportions of colonoscopies performed within one month ; ** Fisher's test (Prob > F) comparing average times to colonoscopy ; ATC : Average time (in month) to colonoscopy ; CI95 % : 95 % Confident interval ; Colo : Colonoscopy ; FIT : Fecal immunochemical test ; GE : Gastroenterologist IDF : Ile-de-France ; iHbts : inhabitants ; MFP : Mutuelle de la Fonction Publique ; MGEN : Mutuelle Générale de l'Education Nationale ; Nb : Number ; RATP : Régie Autonome des Transports Parisiens ; SNCF : Société Nationale des Chemins de Fer. TC : Time (in month) to colonoscopy.