Original scientific paper
First Six Years of Implementing Colorectal Cancer Screening in the Osijek-Baranja County, Croatia – Can We Do Better?
Senka Samardžić
; Institute of Public Health for the Osijek-Baranja County, Department of Public Health, Osijek, Croatia
Silvio Mihaljević
; Clinical Hospital Center Osijek, Department of Urgent and Interventional Gastroenterology
Branko Dmitrović
; Clinical Hospital Center Osijek, Department of Pathology and Forensic Medicine
Josip Milas
; Institute of Public Health for the Osijek-Baranja County,Department of Epidemiology, Osijek, Croatia
Dinko Puntarić
; »J. J. Strossmayer« University, Faculty of Medicine Osijek, Osijek, Croatia
Domagoj Tadijan
; »J. J. Strossmayer« University, Faculty of Medicine Osijek, Osijek, Croatia
Krešimir Jelić
; Clinical Hospital Center Osijek, Department of Cardiology, Osijek, Croatia
Abstract
The primary goal of this paper is to evaluate the efficiency of the Colorectal Cancer Screening Program in the Osijek- -Baranja County. The screening method for early detection of colorectal cancer was the guaiac Faecal Occult Blood Test (gFOBT) and colonoscopy for gFOBT positive finding. The target population were asymptomatic subjects at average risk, aged 50–74. The responding rate was 20.3% (14.9% of men and 19.3% of women). The percentage of gFOBT positive tests was 8.5% (11.2% of men and 6.6% of women). From the 1,657 individuals who were invited to further assessment (884 men and 773 women), 1,157 underwent a colonoscopy exam (649 men and 508 women). We can conclude that the re- sponse to FOBT in our county was extremely poor. 83 carcinomas were found, with almost double findings among men than among women. Our population has a significantly higher number of men with malignant and premalignant chan- ges when compared with women. Considering the higher incidence among men, as well as an increase in incidence in the entire population, we have to take care that our public health programmes are being created with this taken into account, as to increase the response rate, especially among those with a higher risk of developing a disease.
Keywords
colorectal cancer; screening program; Osijek-Baranja County
Hrčak ID:
118294
URI
Publication date:
30.9.2013.
Visits: 1.279 *