engleski

Early detection of colorectal cancer in family practice

Colorectal cancer can be detected and treated in its early stage. Previous studies and National screening prijects are showing that it is possible to reduce the mortality rates around 13% to 18%. METHODS: twenty four family medicine offices have implemented following methods in their everyday practice: 1. anamneses targeted on colorectal cancer prevention, 2. diet counselling for groups with higher risk, 3. distribution of Faecal Occult Blood Tests (FOBT). A group of 1156 people, both male and female, from 50 to 74 years old, were included in this study. RESULTS: national program of colorectal cancer prevention is making rather low results. There is no continuous education, and response of FOBT is around 20% to 25%. In our sudy, out of 654 male examinees, 241 (36, 8%) of them, sent FOBT back. 179 of 402 females (35, 6%) responded the same. target anamneses was performed with 92, 3% of included people in the study, and 82, 3% of them had some form of counselling. CONCLUSION: Family medicine practitioners can make significant contribution to colorectal cancer early detection programs if they implement counselling, educational and active early detection (FOBT) activities in their everyday practice.

colorectal cancer; family practice; early detection; FOBT

doi: 10.1093/annonc/mdq270