Health inequalities are pervasive throughout Europe, and this is no different when it comes to colorectal cancer (CRC). Studies on CRC epidemiology implicate a number of lifestyle-based risk factors of CRC risk or CRC-specific mortality such as smoking, alcohol consumption, diet, and being physically inactive. Most European governments have implemented a screening programme to detect CRC early in people aged 50-74 years. However, in some countries participation among the eligible population is less than 50%.
Where does my country stand on factors that increase or decrease the risk of CRC, or of dying from this disease? Which factors influence the probability that someone gets screened via a public screening programme? Are there any commonalities between these characteristics that are particularly relevant for public health? The ONCOSCREEN tool ONCO-EVIDA aims to shed some light on these questions with an intelligent dashboard developed to identify “hotspots” of CRC incidence, CRC-specific mortality, and/or low screening coverage. The tool is specifically tailored towards policymakers and focuses on differences and comparisons on subnational levels.
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ONCO-EVIDA is very much a team effort. Within the wider ONCOSCREEN ecosystem, ONCO-EVIDA takes the role of a data acceptor and retrieves data from a Data Lake developed by the Centre for Research & Technology Hellas (CERTH) and thus indirectly integrates with multiple other ONCO-tools. CERTH also develops ONCO-EVIDA’s back end, while the front end is developed by Catalink Ltd, who also host the tool during the development phase. The Institute of Communication and Computer Systems (ICCS) provides environmental data and general support, and the Flemish Institute for Technological Research (VITO) coordinates the development of ONCO-EVIDA and reaches out to end-users (i.e. policymakers) for feedback.
This feedback is extremely valuable to us. For example, upon the policymakers’ suggestion, we have committed to providing a default overview of socio-economic inequalities and screening policy on ONCO-EVIDA’s homepage, depending on the country the end-user logs in from. We learn from them so that they can learn from our tools and implement the most suitable policies.
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