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Catalonia to Extend Colon Cancer Screening to Age 74 as Early-Onset Cases Rise

Policy makers are weighing lower start ages against clinic capacity.

Overview

  • Catalonia will widen its public colorectal screening to include people up to 74 through a progressive rollout this year.
  • Health officials there expect about 1,205 extra early diagnoses each year once the broader age band is in place.
  • Participation remains low, with only 47.3% of invited residents taking part in 2024, even though screening starts with a simple at‑home stool blood test and a positive result leads to a colonoscopy that can also remove precancerous polyps.
  • Spain is projected to record more than 44,000 new colorectal cancer cases in 2026, making it the country’s most diagnosed cancer.
  • Clinicians report more patients under 50, including a 40% rise in a major Barcelona registry that has yet to show in national data, which is fueling debate over starting screening earlier as targeted drugs and immunotherapy improve outcomes.