Table 2.
Probability of having had a) any test for colorectal cancer [fecal occult blood test (FOBT) or colonoscopy], b) FOBT or FOBT and colonoscopy or c) any colonoscopy and no FOBT among 50–69 year-olds in Uri and neighboring cantons (NB)+, by calendar year (2010–2018). Uri’s organized screening program for colorectal cancer started in 2013. CSS database years: 2010 to 2018.
| 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | |
|---|---|---|---|---|---|---|---|---|---|
| Uri (N Population) | 1891 | 1869 | 1875 | 1897 | 1996 | 2020 | 2089 | 2105 | 2176 |
| Neighbors+ (N Population) | 38′432 | 38′471 | 39′166 | 40′356 | 41′590 | 42′559 | 43′614 | 44′923 | 46′479 |
| a) Overall testing rates | |||||||||
| Uri %(CI) N Test |
8.7 (7.5–10.1) 165 |
10.1 (8.7–11.5) 188 |
11.4 (10.0–12.9) 214 |
10.1*(8.8–11.6) 192 |
11.6* (10.2–13.1) 231 |
10.2 (9.0–11.7) 207 |
11.4 (10.1–12.8) 238 |
9.7 (8.5–11.1) 205 |
10.8 (9.5–12.2) 235 |
| NB % (CI) N Test |
6.5 (6.3–6.8) 2′506 |
7.1 (6.8–7.3) 2′725 |
7.2 (7.0–7.5) 2′824 |
7.1 (6.8–7.3) 2′849 |
7.6 (7.3–7.8) 3′144 |
7.7 (7.4–7.9) 3′256 |
8.2 (8.0–8.5) 3′579 |
7.8 (7.5–8.0) 3′497 |
7.9 (7.7–8.2) 3′686 |
| b) FOBT or both | |||||||||
| Uri Overall % (CI) N Test |
4.7 (3.8–5.7) 88 |
5.8 (4.8–6.9) 108 |
5.4 (4.5–6.5) 101 |
7.0* (5.9–8.2) 132 |
5.4* (4.4–6.4) 107 |
6.3 (5.3–7.4) 127 |
7.3 (6.2–8.5) 152 |
5.0 (4.1–6.0) 105 |
6.0 (5.1–7.1) 130 |
| In Program1 %(CI) N Test |
2.8* (2.1–3.6) 53 |
3.2* (2.4–4.0) 63 |
2.4 (1.8–3.2) 49 |
4.9 (4.0–5.9) 103 |
2.5 (1.9–3.3) 53 |
4.2 (3.5–5.2) 92 |
|||
| Outside Program %, (CI) N Test |
4.2 (3.3–5.2) 79 |
2.2 (1.6–2.9) 44 |
3.9 (3.1–4.8) 78 |
2.3 (1.7–3.1) 49 |
2.5 (1.9–3.2) 52 |
1.7 (1.2–2.4) 38 |
|||
| NB Overall % (CI) N Test |
2.8 (2.6–3.0) 1′080 | 2.8 (2.6–2.9) 1′059 | 2.7 (2.6–2.9) 1′073 |
2.3 (2.2–2.4) 927 |
2.1 (2.0–2.2) 872 |
1.8 (1.6–1.9) 752 |
1.7 (1.5–1.8) 724 |
1.4 (1.3–1.6) 647 |
1.1 (1.1–1.2) 534 |
| c) Colonoscopy only | |||||||||
| Uri Overall, % (CI) N Test |
4.1 (3.3–5.1) 77 |
4.3 (3.5–5.3) 80 |
6.0 (5.0–7.2) 113 |
3.2 (2.4–4.1) 60 |
6.2 (5.2–7.4) 124 |
4.0 (3.2–4.9) 80 |
4.1 (3.3–5.1) 86 |
4.8 (3.9–5.7) 100 |
4.8 (4.0–5.8) 105 |
| In Program2 % (CI) N Test |
0.9 (0.6–1.5) 19 |
1.1 (0.7–1.6) 22 |
1.0 (0.6–1.5) 21 |
1.3 (0.9–1.9) 29 |
|||||
| Outside Program % (CI) N Test |
3.0 (2.3–3.9) 61 |
3.1 (2.4–3.9) 64 |
3.8 (3.0–4.7) 79 |
3.5 (2.8–4.4) 76 |
|||||
| NB Overall %, (Ci); N Test |
3.7 (3.5–3.9) 1′426 | 4.3 (4.1–4.5) 1′666 | 4.5 (4.3–4.7) 1′751 |
4.8 (4.6–5.0) 1′922 |
5.5 (5.2–5.7) 2′272 |
5.9 (5.7–6.1) 2′504 |
6.5 (6.3–6.8) 2′855 |
6.3 (6.1–6.6) 2′850 |
6.8 (6.6–7.0) 3′152 |
Exclusion criteria: died, moved or changed insurance in that year. + included neighboring cantons: Glarus (GL), Lucerne (LU), Nidwalden (NW), Obwalden (OW), Schwyz (SZ).
1 in program = people included in the program who did not have to pay deductibles or co-pay. After 2014 billing for tests within the OSP used unique codes. 2 Colonoscopy inside/outside the program can only be determined after 2014; before FOBT was billed under the same code, whatever the setting. *Estimates from data provided by Uri’s Cantonal Office of Finance and its centralized database. In 2013, when the program was launched, the Canton of Uri provided free FOBT tests, without co-pay, so the bill was not sent to health insurances. Since 261 tests were reimbursed in 2013 and 20.2 % of the population of Uri was insured by CSS, we estimate 53 FOBT were performed within the program in 2013 and covered by the canton directly. The canton did not take over colonoscopy cost. In 2014, 304 total FOBT tests were performed and we estimated another 63 tests were performed outside the program.