engleski

Croatian National colorectal cancer early detection program

National colorectal cancer early detection program Colorectal cancer is the second leading cause of cancer death in Europe. Its estimated incidence in 2006 was 413 000, while the mortality was 335 000. In 2005, in Croatia, there were 2 843 new cases, and 1 800 deaths. The implementation of faecal occult blood test for colorectal cancer screening in controlled studies, in the USA, UK, Denmark and Sweden, reduced the relative mortality rate from 18% to 33%. The colorectal cancer screening is efficient in colorectal cancer prevention, because the time of benign to malignant transformation lasts for ten and more years. National colorectal cancer early detection program began on november 1. 2007. Its aim is to reduce the mortality from colorectal cancer for at least 15% in five years after its start, to include at least 60% of those called for the screening, to detect cancer in early stages, and to achieve coverage of risk groups in the population of 75% by 2015. The target group are men and women from 50 to 74 years of age. The invitations are being mailed to their home addresses. The examinees with the invitation recieve tree FOB tests with the instructions, the appropriate questionnaire, and an educative pamphlet. Those with a positive test are being called for a colonoscopy. By now, around 93 000 invitations were send. The preliminary results are showing a weak response (25%). 10% of FOB tests are positive, and varies from 3.7% to 46.2%.

National program; prevention; early detection; colorectal cancer

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