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DOI: 10.1055/s-2007-963486
© Georg Thieme Verlag KG Stuttgart · New York
Colorectal Cancer Screening in the Czech Republic
Publication History
Publication Date:
26 March 2008 (online)


Abstract
The epidemiology of colorectal cancer (CRC) in the Czech Republic is extremely unfavourable. The alarmingly high rates of incidence (79 / 100 000) and mortality (45 / 100 000) ([Fig. 1]) have practically remained unchanged in recent years. It is unclear to what extent this reflects a generally unfavourable genetic heritage, environmental factors or the dietary habits of the Czech population. The Czech Society of Gastroenterology launched a population-based CRC screening program in 2000. The FOBT became the standard procedure for a biannual screening examination performed by the general practitioners. A colonoscopy follows in the event of a positive FOBT result. In three screening rounds in 2001, 2002 and 2005, the FOBTs of 6.4 % out of a total of 535 248 participants yielded positive results. 0.33 % of all participants were diagnosed with a carcinoma, 1.9 % with an adenoma. The acceptance and detection rates doubled between 2001 and 2005.