Abstract
Aim Earlier stage at diagnosis of CRC is now evident. To assess the impact of the National Bowel Cancer Screening Program (NBCSP) on this we undertook a cohort comparison of CRC patient data from the NBCSP register and the South Australian Cancer Registry. Records of those invited to take part in the NBCSP, those who participated in the program, and those with positive test results were compared with those of the rest of the study population. Results Of 3481 eligible patients, 221 had been invited to the NBCSP. Invitees were more likely to have stage A lesions compared with all others (34.8% versus 19.2%; p 0.001), and half as likely to have stage D (5.4% versus 12.4%; p p 0.001). Conclusions CRCs were diagnosed at a significantly earlier stage in people invited to the NBCSP compared with those who were not invited, regardless of participation status or test result.
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