Naslov
The results of first cycle of national colorectal cancer screening programme in Croatia

Autori
Katičić, Miroslava ; Antoljak, Nataša ; Brkić, Tomislav ; Kujundžić, Milan ; Stamenic, Valerija ; Štimac, Davor ; Strnad Pešikan, Marija ; Šamija, Mirko ; Ebling, Zdravko ; Kalauz, Mirjana ; Skoko Poljak, Dunja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
World Congress of Gastroenterology Gastro 2013 APDW/WCOG Asian Pacific Digestive Week 2013, Journal of Gastroenterology and Hepatology, vol. 28 suppl. 3 / Watanabe, Mamoru - : John Wiley & Sons, 2013, 563-563

Skup
World Congress of Gastroenterology Gastro 2013 APDW/WCOG Asian Pacific Digestive Week 2013

Mjesto i datum
Šangaj, Kina, 21.09.2013. - 24.09.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
CRC screening ; FOBT ; colonoscopy ; national programme

Sažetak
In Croatia, colorectal Cancer (CRC) was the second leading cause of cancer mortality in men and women respectivelly (nm=1164, 49.77/100000 ; nw=845, 34.89/100000). The National Colorectal Cancer Screening Program was established by the Ministry of Health, and started at September 2007. The fecal occult blood test (FOBT) was performed by guaiac Hemognost card-test. The test and short questionnaire were delivered to the home addresses of all citizens aged 50-74 years consecutively during a 5-year period. Each participant was required to fulfill the questionnaire and to send it together with the stool specimen on 3 test cards to the county public health institute for further reading. All positive persons had to be invited to colonoscopy within 6-8 weeks. A descriptive analysis was performed. [RESULT]: A total of 1425494 individuals (born between 1933 and 1957 -100% of eligible) were invited to screening by the end of March 2013. In total, 288347 (20.3%) persons returned the envelope with a completed questionnaire, and 247362 of them returned it with a correctly placed stool specimen on FOBT cards. Until now 15517 (6.3%), FOBT positive patients have been found. Colonoscopy was performed in 10428 cases (67%), and identified colorectal cancers in 564 patients (5.41% of colonoscopied, 3.7% of FOBT‐positive, and 0.23% of all screened individuals). Polyps were found and removed in 4107 (39, 38%) of colonoscopied patients.In only 800 (7, 7&) colonoscopied patients colon findings were normal. [CONCLUSION]: First cycle implementation characteristics are: relatively low FOBT compliance, higher number of FOBT‐positive persons but still in the range for population‐based programs, and higher number of pathologic findings (polyps and cancers). These results suggest a need for intervention strategies which include organizational changes and educational activities to improve awareness of CRC screening usefulness and increase participation rates.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA