OPTIMIZING OUTCOMES OF COLORECTAL CANCER SCREENING

REINIER G. S. MEESTER

Colorectal cancer screening is a leading cause of cancer deaths. Screening for colorectal cancer is implemented in an increasing number of settings, but performance of programs is often suboptimal. In this thesis, advanced modeling, informed by empirical data, was used to identify areas for improvement of screening programs. The thesis includes studies on the effect of the test used for screening, long-term adherence with screening, the quality of colorectal examinations, time to diagnostic examination, and risk-stratified screening.

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