Original scientific paper
https://doi.org/10.20471/acc.2021.60.s2.01
Opportunistic screening for colorectal cancer in high-risk patients in family medicine practices in the Republic of Croatia
Neven Ljubičić
orcid.org/0000-0002-5207-4357
; School of Medicine, University of Zagreb, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Croatian Society of Gastroenterology, Zagreb, Croatia; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia
Goran Poropat
; School of Medicine, University of Rijeka, Rijeka, Croatia; Rijeka University Hospital Center, Rijeka, Croatia; Croatian Society of Gastroenterology, Rijeka, Croatia
Nataša Antoljak
; School of Medicine, University of Zagreb, Zagreb, Croatia; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia
Nina Bašić Marković
; School of Medicine, University of Rijeka, Rijeka, Croatia; Nina Bašić Marković Family Medicine Practice, Rijeka, Croatia; Society of Teachers of General-Family Medicine, Rijeka, Croatia
Vjekoslava Amerl Šakić
; Vjekoslava Amerl Šakić Family Medicine Practice, Zagreb, Croatia; Coordination of the Croatian Family Medicine for Prevention Programs, Zagreb, Croatia
Marko Rađa
; Healthcare Center of the Split-Dalmatia County, Split, Croatia; Croatian Family Medicine Society, Split, Croatia
Dragan Soldo
; School of Medicine, University of Zagreb, Zagreb, Croatia; Zagreb-Center Healthcare Center, Zagreb, Croatia; Andrija Štampar School of Public Health, Zagreb, Croatia; Croatian Society of Family Physicians, Croatian Medical Association, Zagreb, Croatia
Davor Štimac
; School of Medicine, University of Zagreb, Zagreb, Croatia; Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Croatian Society of Gastroenterology, Zagreb, Croatia; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia
Mirjana Kalauz
; School of Medicine, University of Zagreb, Zagreb, Croatia; Croatian Society of Gastroenterology, Zagreb, Croatia; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia
Hrvoje Iveković
; Croatian Society of Gastroenterology, Zagreb, Croatia; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia; Zagreb University Hospital Center, Zagreb, Croatia
Marko Banić
; School of Medicine, University of Zagreb, Zagreb, Croatia; Croatian Society of Gastroenterology, Zagreb, Croatia; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia; School of Medicine, University of Rijeka, Rijeka, Croatia
Franjo Turalija
; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia; Franjo Turalija Family Medicine Practice, Zaprešić, Croatia
Željko Puljiz
; Croatian Society of Gastroenterology, Zagreb, Croatia; 5National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia; School of Medicine, University of Split, Split, Croatia; Split University Hospital Center, Split, Croatia
Ivana Brkić Biloš
; National Monitoring Committee for the Implementation of the National Colon Cancer Early Detection Program of the Croatian Ministry of Health, Zagreb, Croatia; Croatian Institute of Public Health, Zagreb, Croatia
Abstract
Colorectal cancer is a malignant neoplasm which has an increasing incidence and
represents a global public health problem. The majority of patients are diagnosed after the age of 50,
and the risk of developing it over lifetime is 5%. Development of preventive, diagnostic and treatment
methods has resulted in a significant reduction in mortality and other negative clinical outcomes.
Precisely because of the efficient method of prevention and early detection of this disease, numerous
countries, including Croatia, have organized national colorectal cancer screening and monitoring programs.
However, these programs are primarily organized for the population with the usual, i.e. average
risk of developing colorectal cancer. High-risk groups include persons with endoscopically detected
and removed colon polyps, persons surgically treated for colon cancer, persons with a positive family
history of colorectal cancer, persons with inflammatory bowel diseases, individuals and families with
hereditary disorders or genetic mutations that increase the risk of this disease several fold, persons
with acromegaly, and patients who have undergone ureterosigmoidostomy. Recommendations for the
detection and monitoring of high-risk groups are often not defined clearly, and some of the existing
ones are based mostly on scarce scientific evidence. It is commonly accepted that screening in high-risk
groups should start at an earlier age, with shorter intervals between follow-ups. The basic diagnostic
method for screening and monitoring in these patient groups is endoscopic monitoring, or colonoscopy.
The aim of this review paper is to present the characteristics of the abovementioned risk
groups and provide clear screening recommendations.
Keywords
Opportunistic screening; Colorectal cancer; Family medicine
Hrčak ID:
275604
URI
Publication date:
1.12.2021.
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