Onkologie. 2013:7(4):176-178

Colorectal cancer screening

Štěpán Suchánek¹, Tomáš Grega¹, Ondřej Májek², Ladislav Dušek², Miroslav Zavoral¹

¹ Interní klinika, 1. LF UK, ÚVN &ndash, VFN Praha

² Institut biostatistiky a analýz Masarykovy Univerzity, Brno

Colorectal cancer is the second most common malignant disease in developed countries. Given that the process of sporadic cancer carcinogenesis

is relatively slow, it is possible to successfully prevent this disease. Czech National Colorectal Cancer Screening Program was

launched in 2000 and since that time is in continual development in order to increase the effective coverage of the target population. It

is currently available as two-step screening program (stool test for occult blood and colonoscopy) or one-step program (primary screening

colonoscopy). Quality of the program is evaluated using performance indicators – namely adenoma detection rate (ADR) and cecal

intubation rate (CIR). The screening program in the Czech Republic enables long-term stabilization of incidence and a slight decrease

in mortality from colorectal cancer. To further reduce the incidence and mortality of this disease, greater participation of the target

population using personalized invitation of target population and media campaigns are necessary.

Keywords: colorectal cancer, screening, fecal occult blood test, colonoscopy, quality control

Published: October 1, 2013  Show citation