{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T21:06:38Z","timestamp":1789247198596,"version":"build-2803163510"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100016037","name":"Gustave Roussy Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016037","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Colorectal cancer (CRC) risk is increased in childhood cancer survivors (CCS). In France, fecal immunochemical testing (FIT) is recommended every 2 years for those aged 50\u201374 years, although no specific CRC-screening programs are dedicated to CCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We investigated the participation rate in CRC screening by using the national health data system to identify FIT in the French Childhood Cancer Survivor Study cohort, across three two-year periods\u20142016\u201317, 2018\u201319, and 2020\u201321\u2014to compare it to the general population via indirect standardization and used multivariable logistic regression to investigate factors influencing CCS participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 2016\u201317, 2018\u201319, and 2020\u201321, respectively, 20.0%, 21.8%, and 23.2% participated in screening, which is lower than the rate for the general population [standardized incidence ratios (95% CI)\u2009=\u20090.62 (0.49\u20130.78), 0.72 (0.59\u20130.87), and 0.70 (0.59\u20130.83), respectively]. Demographic, clinical, therapeutic, and socio-economic determinants were not associated with CRC-screening participation. Although these patterns were not consistently observed across all subgroups, survivors with severe long-term complications tended to have higher participation [odds ratio (95% CI)\u2009=\u20091.64 (1.07\u20132.53)], whereas higher medical expenses were associated with lower participation (P\u2009&amp;lt;\u2009.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite an increased risk of CRC after childhood cancer, participation in CRC-screening programs remains low in CCS. Survivors and their physicians require educational initiatives to promote CRC screening and provide risk-adapted surveillance guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ije\/dyag123","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T22:27:22Z","timestamp":1784932042000},"source":"Crossref","is-referenced-by-count":0,"title":["Colorectal cancer screening participation in childhood cancer survivors: a report from the French Childhood Cancer Survivors Study (FCCSS)"],"prefix":"10.1093","volume":"55","author":[{"given":"Judith","family":"Ouanounou","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Inserm, UVSQ, Center for Research in Epidemiology and Population Health \u2013 Unit 1018, EpiRad (Radiation Epidemiology team), F-94805 , Villejuif,","place":["France"]},{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Department of Children and Adolescents Oncology, F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Bejarano-Quisoboni","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Inserm, UVSQ, Center for Research in Epidemiology and Population Health \u2013 Unit 1018, EpiRad (Radiation Epidemiology team), F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1895-8415","authenticated-orcid":false,"given":"Rodrigue S","family":"Allodji","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Inserm, UVSQ, Center for Research in Epidemiology and Population Health \u2013 Unit 1018, EpiRad (Radiation Epidemiology team), F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bougas","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences \u00c9conomiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, \u00c9quipe CALIPSO , Marseille,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giao","family":"Vu-Bezin","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Inserm, UVSQ, Center for Research in Epidemiology and Population Health \u2013 Unit 1018, EpiRad (Radiation Epidemiology team), F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Souchard","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Inserm, UVSQ, Center for Research in Epidemiology and Population Health \u2013 Unit 1018, EpiRad (Radiation Epidemiology team), F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiraz","family":"El-Fayech","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Department of Children and Adolescents Oncology, F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u00e8s","family":"Dumas","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences \u00c9conomiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, \u00c9quipe CALIPSO , Marseille,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Haddy","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Inserm, UVSQ, Center for Research in Epidemiology and Population Health \u2013 Unit 1018, EpiRad (Radiation Epidemiology team), F-94805 , 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Caen,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Thebault","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Department of Children and Adolescents Oncology, F-94805 , Villejuif,","place":["France"]},{"name":"Department of Tumor Paediatrics, Centre Oscar Lambret , 59000, Lille,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Allard","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris-Saclay, Gustave Roussy, Department of Children and Adolescents Oncology, F-94805 , Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Cordero","sequence":"additional","affiliation":[{"name":"SIREDO Oncology Centre (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer), Curie Institute, PSL University , 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