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Cancer Screening, Diagnosis and Care

Milestones

The European Commission Initiative on Colorectal Cancer (ECICC) aims to ensure that essential quality care for colorectal cancer is provided across Europe and is equally accessible regardless of where a person lives or is treated, or their financial resources. 

To achieve this goal, the initiative is developing:

  • evidence-based guidelines for screening and diagnosis of cancer,
  • quality assurance schemes for cancer services covering the entire care pathway, comprising screening and diagnosis, as well as treatment, follow-up and supportive care.
2026
  • The ECICC Working Group approved a full set of requirements of the Fecal Immunochemical Test (FIT) screening test and approved two requirements for pathology as part of the development of the European quality assurance scheme for colorectal cancer services. 
  • Management of premalignant lesions, FIT thresholds, and colonoscopic surveillance post-adenoma removal were discussed as part of the development of the European colorectal cancer guidelines.
2025
  • The ECICC Working Group approved the first three Fecal Immunochemical Test (FIT) requirements; sample collection, submission and result reporting, and expects two more to be finalised and published for comment in the coming months, after which they will be incorporated into the European quality assurance scheme for colorectal cancer services.
  • The transversal supportive care group has begun updating broader cancer care requirements (rehabilitation, follow‑up, survivorship, palliative care), serving as a pilot for all six European quality assurance schemes under the EC cancer screening and care initiatives.
  • The Working Group also issued recommendations on invitation strategies, screening age ranges, frequency and test types, and approved quality indicators for monitoring implementation.
  • Dedicated topic-specific groups are drafting guidance on FIT cut‑off thresholds, micronutrient primary prevention and management of premalignant lesions.
2024
  • Following the publication of the screening age-range recommendations, the ECICC Working Group has now approved quality indicators to monitor the implementation of these recommendations. The quality indicators are being planned for publication in association with the screening recommendation.
  • The ECICC Working Group approved the general requirements to be included in the European quality assurance scheme for colorectal cancer services. These requirements will be harmonised across all European quality assurance schemes.
  •  The ECICC Working Group began working on recommendations related to screening age ranges and tests and conducted the second round of prioritisation (update of the list of priority questions by including those related to colorectal cancer diagnosis).
2023
  • The aspirin and other non-aspirin NSAIDs topic-specific group began its activities.
  • The ECICC Working Group issued its first recommendation on whether colorectal cancer screening should be conducted, as well as four good practice statements focusing on primary prevention through healthy lifestyles.
2022
  • The ECICC Working Group conducted the first round of prioritisation and identified a list of priority questions related to colorectal cancer primary prevention and screening.
  • Appointment of ECICC Working Group.

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