Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
The European Journal of Health Economics
Published in: The European Journal of Health Economics 1/2010

01-01-2010 | Original Paper

The challenge of colorectal cancer prevention in Spain

Authors: Julio Lopez-Bastida, Begoña Bellas-Beceiro, Enrique Quintero-Carrión

Published in: The European Journal of Health Economics | Special Issue 1/2010

Login to get access

Abstract

Colorectal cancer (CRC) is the leading cause of all new cancer cases and the second major cause for all cancer deaths in Spain. CRC survival has improved over the past few decades and is now higher than the 5-years European average, but this is associated with improved treatment than to early detection. A number of screening pilot programs have been completed in various regions, likely leading to national implementation in the future. Treatment guidelines have been developed and implemented to set standards and reduce practice variability. Newer treatments are available, including laparoscopic surgery, adjuvant chemotherapy and the use of targeted treatments. Specific programs are in place for rural patients, as well as programs to reduce waiting times. Overall, Spain is aware of the issues raised by CRC oncology management and has acted to improve patient outcomes, adding screening to its arsenal will further impact survival rates.
Literature
1.
Fernandez, E., La Vecchia, C., Gonzalez, J.R., Lucchini, F., Negri, E., Levi, F.: Converging patterns of colorectal cancer mortality in Europe. Eur. J. Cancer 41, 430–437 (2005)CrossRef
2.
Centro Nacional de Epidemiología. Instituto de Salud Carlos III: Cancer Situation in Spain (translated from Spanish). Ministerio de Sanidad y Consumo, Madrid (2005)
3.
González, J.R., Moreno, V., Fernandez, E., Izquierdo, A., Borrás, J., Gispert, R.: Probability of developing and dying from cancer in Catalonia during 1998–2001 (translated from Spanish). Med. Clin. (Barc) 124, 411–414 (2005)
4.
Curado, M.P., Edwards, B., Shin, H.R., et al.: Cancer Incidence in Five Continents, vol. IX. IARC Scientific Publications No 160. IARC, Lyon (2007)
5.
Piñol, V., Andreu, M., Castells, A., Payá, A., Bessa, X., Jover, R.: Frequency of hereditary non-polyposis colorectal cancer and other colorectal cancer familial forms in Spain. A multicenter, prospective, nation-wide study. Gastrointestinal Oncology Group of the Spanish Gastroenterological Association. Eur. J. Gastroenterol. Hepatol. 16, 39–45 (2004)CrossRef
6.
Ferlay, J., Autier, P., Boniol, M., Heanue, M., Colombet, M., Boyle, P.: Estimates of the cancer incidence and mortality in Europe in 2006. Ann. Oncol. 18, 581–592 (2007)CrossRef
7.
8.
Coleman, M.P., Cuaresma, M., Berrino, F., et al.: Cancer survival in five continents: a worldwide population-based study (CONCORD). Lancet Oncol. 9, 730–756 (2008)CrossRef
9.
Verdecchia, A., Francisci, S., Brenner, H., et al.: Recent cancer survival in Europe: a 2000–02 period analysis of EUROCARE-4 data. Lancet Oncol. 8, 784–796 (2000)CrossRef
10.
Gatta, G., Faivre, J., Capocaccia, R., Ponz de Leon, M.: Survival of colorectal cancer patients in Europe during the period 1978–1989. Eur. J. Cancer 34, 2176–2183 (1998)CrossRef
11.
Berrino, F., De Angelis, R., Sant, M., et al.: Survival for eight major cancers and all cancers combined for European adults diagnosed in 1995–99: results of the EUROCARE-4 study. Lancet Oncol. 8, 773–783 (2007)CrossRef
12.
Ferlay, J., Bray, F., Pisani, P., Parkin, D.M.: GLOBOCAN 2002: Cancer Incidence, Mortality and Prevalence Worldwide. IARC Cancer Base No. 5. Version 2.0. IARC Press, Lyon (2004)
13.
14.
Ministerio de Sanidad y Consumo: Cancer Strategy in National Healthcare System (translated from Spanish). Centro de Publicaciones del Ministerio de Sanidad y Consumo, Madrid (2006)
15.
16.
17.
Parkin, D.M., Chen, V.W., Ferlay, J., Galceran, J., Storm, H.H., Whelan, S.L. (eds.): Comparability and Quality Control in Cancer Registration. IARC Technical Report No. 19. IARC, Lyon (1994)
18.
Grupo de trabajo de la guía de práctica clínica sobre prevención del cáncer colorectal (2004) Guide of clinical practice of colorectal cancer prevention (translated from Spanish). Asociación Española de Gastroenterología, Sociedad Española de Medicina de Familia y Comunitaria y Centro Cochrane Iberoamericano, Barcelona. http://​www.​guiasgastro.​net
19.
Marzo Castillejo, M., Bellas Beceiro, B., Nuin Villanueva, M.A., Cierco Peguera, P., Moreno Baquerano, M.: Estrategias de prevención del cáncer. Aten Primaria 39, 47–66 (2007). http://​www.​papps.​org
20.
21.
Tárraga, P., García-Olmo, D., Celada, A., García-Molinero, M., Divison, J.A., Casado, C.: Colorectal cancer screening through detection of fecal occult blood in a controlled Elath zone. Rev. Esp. Enferm. Dig. 91, 335–344 (1999)
22.
Sala, M., Castells, A., Bessa, X., Gargallo, L., Piqué, J.M.: Screening for colorectal cancer in Catalonia. Results of a population survey. Gastroenterol. Hepatol. 21, 427–431 (1998)
23.
Pla Director d’Oncologia a Catalunya: Direcció General de Planificació i Avaluació. Departament de Salut, Generalitat de Catalunya, Barcelona (2006)
24.
25.
26.
27.
Cruzado Quevedo, J.: Pilot program of colorectal cancer in the region of Murcia (translated from Spanish). In: Simposio Avanzando hacia el Cribado del Cáncer Colorrectal en España. Asociación Española de Gastroenterología, Tenerife (2008)
28.
Onco-Guide of Hereditary Cancer and Genetic Counselling: Agència d’Avaluació de Tecnología i Recerca Mèdiques. CatSalut (translated from Spanish). Departament de Salut. Generalitat de Catalunya, Barcelona (2006)
29.
30.
Ministerio de Sanidad y Consumo: Public sanitary expediture (1988–2005). Ministerio de Sanidad y Consumo (2007)
31.
Antoñanzas, F., Oliva, J., Velasco, M., Zozaya, N., Lorente, R., López Bastida, J.: Direct and indirect costs of cancer in Spain (translated from Spanish). Cuad. Econ. ICE 72, 281–309 (2006)
32.
Farmaindustria: Memoria Anual 2007. Farmaindustria, Madrid (2008)
33.
Greene, F.L., Fleming, I.D.: American Joint Committee on Cancer Staging manual, 6th edn. Springer, Philadelphia (2002)
34.
Lacy, A.M., Delgado, S., Castells, A., Prins, H.A., Arroyo, V., Ibarzabal, A., et al.: The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann. Surg. 248, 1–7 (2008)CrossRef
35.
Arteaga-Gonzalez, I., Martin-Malagon, A., Fernandez, E.M., et al.: The use of preoperative endoscopic tattooing in laparoscopic colorectal cancer surgery for endoscopically advanced tumors: a prospective comparative clinical study. World J. Surg. 30, 605–611 (2006)CrossRef
36.
Winawer, S.J., Zauber, A.G., Ho, M.N., et al.: Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N. Engl. J. Med. 329, 1977–1981 (1993)CrossRef
37.
Saito, Y., Uraoka, T., Matsuda, T., et al.: Endoscopic treatment of large superficial colorectal tumors: a case series of 200 endoscopic submucosal dissections (with video). Gastrointest. Endosc. 66, 966–973 (2007)CrossRef
38.
Hurlstone, D.P., Atkinson, R., Sanders, D.S., Thomson, M., Cross, S.S., Brown, S.: Achieving R0 resection in the colorectum using endoscopic submucosal dissection. Br. J. Surg. 94, 1536–1542 (2007)CrossRef
39.
Lacy, A.M.: Laparoscopic surgery and colorectal cancer (translated from Spanish). In: EM T (ed.) Guías Clínicas de la Asociación Española de Cirugía: Cirugía Endoscópica, pp. 390–394. Arán, Madrid (2003)
40.
Lopez-Bastida, J., Mossialos, E.: Pharmaceutical expenditure in Spain: cost and control. Int. J. Health Serv. 30, 597–616 (2000)CrossRef
41.
Antoñanzas, F., Oliva, J., Pinillos, M., Juàrez, C.: Economic aspects of the new Spanish laws on pharmaceutical preparations. Eur. J. Health Econ. 8, 297–300 (2007)CrossRef
Metadata
Title
The challenge of colorectal cancer prevention in Spain
Authors
Julio Lopez-Bastida
Begoña Bellas-Beceiro
Enrique Quintero-Carrión
Publication date
01-01-2010
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue Special Issue 1/2010
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-009-0186-x

Other articles of this Special Issue 1/2010

The European Journal of Health Economics 1/2010 Go to the issue

Original Paper

Colorectal cancer care in Denmark: status and dilemmas

Original Paper

Colorectal cancer in France

Original Paper

Colorectal cancer in Turkey: current situation and challenges for the future

Original Paper

Colorectal cancer in Russia

Original Paper

Cancer management and reimbursement aspects in Germany: an overview demonstrated by the case of colorectal cancer

Original Paper

Colocteral cancer management and prevention policies in Greece