Colorectal Cancer Screening in the Czech Republic

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.

References

• 1 Frič P, Zavoral M, Dvořáková H. et al . An adapted program of colorectal cancer screening - 7-years experience and cost-benefits analysis.  Hepato-Gastroenterology. 1994;  41 413-416
• 2 Frič P, Zavoral M, Čekal J. et al . Screening kolorektálního karcinomu v současném systému zdravotní péče (Pražský projekt).  Endoskopie. 1999;  8 39-45
• 3 Frič P, Zoubek V, Dvořáková H. et al . Náklady a užitek depistáže kolorektálních nádoru° Haemoccult® testem u asymptomatických jedincu° ve veˇku 45 - 60 let.  Čas Lék čes. 1991;  130 370-373
• 4 Zavoral M, Závada F, Frič P. Český národní program sekundární prevence kolorektálního karcinomu.  Čes a Slov Gastroent a Hepatol. 2005;  roč. 59 č. 1