[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-327704-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-327704-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","overcoming-geographical-and-socioeconomic-limitations-in-colorectal-cancer-screening-editorial","Overcoming geographical and socioeconomic limitations in colorectal cancer screening - Editorial","","Despite colorectal cancer’s high global incidence, residents of low- and middle-income countries and low-income minorities in advanced economies experience low screening uptake. Observational evidence links persistent under-screening in these groups to low income, limited education, poor awareness, and insufficient social security support, which together reduce access and adherence. Although multiple screening modalities exist with validated diagnostic value, many low-income countries lack established programs and guidelines, and guidance heterogeneity complicates global management. A coordinated global approach should align screening elements with each country’s incidence and resources, prioritize awareness, outreach education, and patient navigator strategies, and use feasible cost-effective techniques where specialized endoscopy is limited.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/overcoming-geographical-and-socioeconomic-limitations-in-colorectal-cancer-screening-editorial/327704/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/overcoming-geographical-and-socioeconomic-limitations-in-colorectal-cancer-screening-editorial/327704.png","ImageObject",300,407,{"name":42,"@type":43},"Eliana","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-21",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why are colorectal cancer screening rates low in low- and middle-income countries and among low-income minorities?","Question",{"text":63,"@type":64},"Low income, limited educational background, and lack of awareness—combined with inadequate social security for certain groups—impede access and compliance. As a result, screening uptake remains low despite the observed CRC burden.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What problem arises from the lack of screening programs and guidelines?",{"text":68,"@type":64},"Many low-income countries still lack established screening programs, and the absence of national guidelines—along with heterogeneity of guidelines globally—creates a confusing management landscape.",{"name":70,"@type":61,"acceptedAnswer":71},"What measures does the editorial recommend to improve CRC screening implementation?",{"text":72,"@type":64},"Develop global coordination that links screening elements to local incidence and resources, use cheaper cost-effective techniques when appropriate, emphasize awareness, and expand outreach/community education and patient navigator programs for more consistent screening and follow-up.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},327704,1790464881,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,111,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":108,"show_sort_weight":109,"slug":110},7,"Healthcare",40,"healthcare",{"id":112,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":113,"slug":114},8,30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":112,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":112,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":117,"preview_page_count":4},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","| W | J | G | O | World Journal of\u003Cbr>Gastrointestinal Oncology |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Oncol 2024 May 15; 16(5): 1683-1689  \nDOI: 10.4251/wjgo.v16.i5.1683 ISSN 1948-5204 (online)  \nEDITORIAL  \nOvercoming geographical and socioeconomic limitations in colorectal cancer screening  \nSofia Rozani, Panagis M Lykoudis  \nSpecialty type: Oncology  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s scientific quality classification  \nGrade A (Excellent): A  \nGrade B (Very good): B  \nGrade C (Good): 0  \nGrade D (Fair): 0  \nGrade E (Poor): 0  \nP-Reviewer: Engida YE, Ethiopia; Safarzadeh Kozani P, Iran  \nReceived: December 30, 2023  \nPeer-review started: December 30, 2023  \nFirst decision: January 16, 2024  \nRevised: January 29, 2024  \nAccepted: March 18, 2024  \nArticle in press: March 18, 2024  \nPublished online: May 15, 2024  \nSofia Rozani, Panagis M Lykoudis, School of Medicine, National and Kapodistrian University of Athens, Athens 11527, Greece  \nPanagis M Lykoudis, Division of Surgery and Interventional Science, University College London, London WC1E 6BT, United Kingdom  \nCorresponding author: Panagis M Lykoudis, MD, MSc, PhD, Lecturer, Division of Surgery and Interventional Science, University College London, Gower Street, London WC1E 6BT, United [Kingdom.](Kingdom. p.lykoudis@ucl.ac.uk)[ p.lykoudis@ucl.ac.uk](Kingdom. p.lykoudis@ucl.ac.uk)  \nAbstract  \nDespite colorectal cancer’s (CRC) high global incidence, residents of low-and middle- income countries, as well as low-income minorities in advanced economies have low screening rates. Observational studies demonstrate that in these groups higher incidence of CRC is observed, yet screening rates remain low for consistent reasons. Low income, low educational background, and lack of awareness in combination with inadequate social security of certain population groups impede access and compliance rates to CRC screening. On the other hand, despite the global availability of multiple screening approaches (colonoscopy, sigmoidoscopy, faecal occult blood test, faecal immunochemical test, computed tomography-colonography, etc.) with proven diagnostic validity, many lowincome countries still lack established screening programs. The absence of screening guidelines in these countries along with the heterogeneity of guidelines in the rest of the world, demonstrate the need for global measures to tackle this issue comprehensively. An essential step forward is to develop a global approach that will link specific elements of screening with the incidence and available resources in each country, to ensure the achievement of at least a minimum screening program in low-income countries. Utilizing cheaper, cost-effective techniques, which can be carried out by less specialized healthcare providers, might not be equivalent to endoscopy for CRC screening but seems more realistic for areas with fewer resources. Awareness has been highlighted as the most pivotal element for the effective implementation of any screening program concerning CRC. Moreover, multiple studies have demonstrated that outreach strategies and community-based educational programs are associated with encouraging outcomes, yet a centrally coordinated expansion of these programs could provide more consistent results. Additionally, patient navigator programs, wherever implemented, have increased CRC screening and improved follow-up. Therefore, global coordination and patient education seem to be the main areas on  \n WJGO  [https://www.wjgnet.com](https://www.wjgnet.com) 1683 May 15, 2024  Volume 16  Issue 5   \nRozani S et al. Socioeconomic limitations in CRC screening which policy making needs to focus.  \nKey Words: Colorectal cancer; Screening; Low-and middle-income countries; Socioeconomic disparities; Cancer  \n©The Author(s) 2024. Published by B","cbCais7CvlZmHDZj","https://ap.wps.com/l/cbCais7CvlZmHDZj","pdf",1594777,"English","# Editorial\n## Abstract\n## Core Tip\n## Citation\n## Introduction","[{\"question\":\"Why are colorectal cancer screening rates low in low- and middle-income countries and among low-income minorities?\",\"answer\":\"Low income, limited educational background, and lack of awareness—combined with inadequate social security for certain groups—impede access and compliance. As a result, screening uptake remains low despite the observed CRC burden.\"},{\"question\":\"What problem arises from the lack of screening programs and guidelines?\",\"answer\":\"Many low-income countries still lack established screening programs, and the absence of national guidelines—along with heterogeneity of guidelines globally—creates a confusing management landscape.\"},{\"question\":\"What measures does the editorial recommend to improve CRC screening implementation?\",\"answer\":\"Develop global coordination that links screening elements to local incidence and resources, use cheaper cost-effective techniques when appropriate, emphasize awareness, and expand outreach/community education and patient navigator programs for more consistent screening and follow-up.\"}]","Overcoming geographical and socioeconomic limitations in colorectal cancer screening - Editorial | PDF",1789977854]