Shared decision making and patient satisfaction in colorectal cancer screening: a multicentric cross-sectional study
10 affiliations
- 1Cancer Screening and Clinical Epidemiology; Parc Taulí Hospital Universitari. Institut d’Investigació i Innovació Parc Taulí (I3PT-CERCA), Sabadell, Spain
- 2Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine, Autonomous University of Barcelona, Barcelona, Spain
- 3CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
- 4Cancer Screening Programs, Xarxa Assistencial Universitària de Manresa, Manresa, Spain
- 5Institut de Recerca I Innovació en Ciències de La Vida I de La Salut a La Catalunya Central (IRIS-CC), Vic, Spain
- 6PhD Candidate in Methodology of Biomedical Research and Public Health, Universitat Autònoma de Barcelona, Barcelona, Spain
- 7Digestive Endoscopy Unit, Gastroenterology Department, Institut d’Investigació i Innovació Parc Taulí I3PT, Parc Taulí Hospital Universitari, Sabadell, Spain
- 8Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
- 9Epidemiology and Evaluation Department, Hospital del Mar Institute for Medical Research, Barcelona, Spain
- 10Clinical Epidemiology and Healthcare Services, Institut d’Investigació Biomèdica Sant Pau IIB Sant Pau, Barcelona, Spain
Abstract
Background: Colorectal cancer (CRC) screening programs reduce incidence and mortality, but their success depends not only on clinical effectiveness but also on participants’ experience and satisfaction. Understanding these dimensions is crucial, as poor satisfaction or limited involvement in shared decision-making (SDM) can undermine uptake and adherence. This study evaluated SDM and satisfaction among participants with a positive fecal immunochemical test (FIT) in an organized CRC screening program in Catalonia.
Methods: A multicenter cross-sectional study was conducted from November 2020 to December 2021 across three hospitals. Participants aged 50–69 with a positive FIT result were surveyed after colonoscopy and diagnosis. SDM was measured using CollaboRATE and SDM-Q-9; satisfaction was assessed using Hatoum’s and Colonoscopy Safety and Satisfaction Questionnaire questionnaires and custom tools. Multivariate analyses identified factors associated with SDM and satisfaction.
Results: Of 846 invited, 824 were included and 694 completed questionnaires (84.2% response rate). Overall, 39.8% achieved the CollaboRATE top score. Higher SDM was linked to shorter wait times, use of Moviprep®,a bowel preparation solution, and absence of complications. Among CRC-diagnosed patients, women and those with a personal cancer history reported higher SDM. Overall satisfaction was high (mean 9.4/10), though bowel preparation scored lowest. Satisfaction varied by hospital, preparation type, and patient characteristics, but not by final diagnosis.
Conclusions: Participants reported high satisfaction but moderate SDM, revealing room for improvement. Factors such as preparation type, waiting time, and communication quality shaped patient experience. Differences across centers suggest organizational factors matter. Strengthening communication, reducing delays, and addressing patient diversity are essential to enhance satisfaction and engagement, key drivers of CRC screening program effectiveness.
Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12885-026-16711-x.
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BibTeX
@article{selva2026shared,
title = {{Shared decision making and patient satisfaction in colorectal cancer screening: a multicentric cross-sectional study}},
author = {Anna Selva and Núria Torà and Cristina Hortala Bas and Pilar López López and Salvador Machlab and Andrea Burón and Cristina Barrufet and Teresa Puig and Anna Aymar and Rebeca Terraza-Núñez and Rebeca Terraza-Núñez and Ivan Solà and Clara Selva and Vanesa Rodríguez and Francesc Macià and Ismael Macias and Pilar López and Yolanda Álvarez-Pérez},
journal = {BMC Cancer},
year = {2026},
month = aug,
doi = {10.1186/s12885-026-16711-x},
url = {https://doi.org/10.1186/s12885-026-16711-x},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Shared decision making and patient satisfaction in colorectal cancer screening: a multicentric cross-sectional study
AU - Anna Selva
AU - Núria Torà
AU - Cristina Hortala Bas
AU - Pilar López López
AU - Salvador Machlab
AU - Andrea Burón
AU - Cristina Barrufet
AU - Teresa Puig
AU - Anna Aymar
AU - Rebeca Terraza-Núñez
AU - Rebeca Terraza-Núñez
AU - Ivan Solà
AU - Clara Selva
AU - Vanesa Rodríguez
AU - Francesc Macià
AU - Ismael Macias
AU - Pilar López
AU - Yolanda Álvarez-Pérez
PY - 2026
DA - 2026/08/11
JO - BMC Cancer
DO - 10.1186/s12885-026-16711-x
UR - https://doi.org/10.1186/s12885-026-16711-x
AB - Background: Colorectal cancer (CRC) screening programs reduce incidence and mortality, but their success depends not only on clinical effectiveness but also on participants’ experience and satisfaction. Understanding these dimensions is crucial, as poor satisfaction or limited involvement in shared decision-making (SDM) can undermine uptake and adherence. This study evaluated SDM and satisfaction among participants with a positive fecal immunochemical test (FIT) in an organized CRC screening program in Catalonia. Methods: A multicenter cross-sectional study was conducted from November 2020 to December 2021 across three hospitals. Participants aged 50–69 with a positive FIT result were surveyed after colonoscopy and diagnosis. SDM was measured using CollaboRATE and SDM-Q-9; satisfaction was assessed using Hatoum’s and Colonoscopy Safety and Satisfaction Questionnaire questionnaires and custom tools. Multivariate analyses identified factors associated with SDM and satisfaction. Results: Of 846 invited, 824 were included and 694 completed questionnaires (84.2% response rate). Overall, 39.8% achieved the CollaboRATE top score. Higher SDM was linked to shorter wait times, use of Moviprep®,a bowel preparation solution, and absence of complications. Among CRC-diagnosed patients, women and those with a personal cancer history reported higher SDM. Overall satisfaction was high (mean 9.4/10), though bowel preparation scored lowest. Satisfaction varied by hospital, preparation type, and patient characteristics, but not by final diagnosis. Conclusions: Participants reported high satisfaction but moderate SDM, revealing room for improvement. Factors such as preparation type, waiting time, and communication quality shaped patient experience. Differences across centers suggest organizational factors matter. Strengthening communication, reducing delays, and addressing patient diversity are essential to enhance satisfaction and engagement, key drivers of CRC screening program effectiveness. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12885-026-16711-x.
SN - 1471-2407
ER -