Use of hospital resources in the Finnish XXXX screening programme: a randomised health services study.

@entity1 @entity14
OBJECTIVE: To estimate the difference in use of hospital resources in the Finnish @entity14 ( @entity14 ) screening programme between those invited and controls, within the year of randomisation and the next year. DESIGN: @entity14 screening was implemented in Finland in 2004 as a population-based randomised design using biennial faecal occult blood test (FOBT) for @entity1 and @entity1 aged 60-69   years. Those randomised to screening and control groups during years 2004-2009 were included in this analysis and use of hospital resources was estimated. Data were collected from the national register on hospital discharges. Outpatient visits, inpatient episodes and colonoscopies were compared between the two groups. RESULTS: The screening group comprised of 123   149 and control group of 122   930 @entity1 . Most @entity1 in both groups had not used hospital resources at all. More @entity1 in the screening group than in the control group had at least one hospital-based outpatient visit (7.8% vs 7.4%), inpatient episode (3.9% vs 3.8%) and colonoscopy (1.5% vs 1.3%). In total, the screening group had 31   975 and control group 27   061 cumulative outpatient visits, 9260 and 7903 inpatient episodes, and 2686 and 1756 hospital colonoscopies, respectively. The proportion of those with a positive FOBT result with at least one outpatient visit, one inpatient episode or one colonoscopy, was 3.7 times, 2.5 times or 9 times that of those with a negative FOBT result, respectively. CONCLUSIONS: @entity14 screening using the FOBT slightly increased the volume of hospital outpatient visits, inpatient episodes and hospital colonoscopies in Finland.
