학술논문
Změny ve screeningu kolorektálního karcinomu - krok správným směrem?
Changes in colorectal cancer screening – a step in the right direction?
Changes in colorectal cancer screening – a step in the right direction?
Document Type
Text
Source
Onkologie | 2010 Volume:4 | Number:4
Subject
Language
Czech
English
English
Abstract
Po téměř deseti letech od zahájení screeningu kolorektálního karcinomu (KRCA) v České republice došlo ke změně jeho programu. Hlavní epidemiologické ukazatele KRCA, incidence a mortalita, pro nás zůstávají nepříznivé. Sekundární prevence KRCA zatím nenaplňuje očekávání. Úprava programu spočívá ve volbě vlastní screeningové metody a modifikaci jejího intervalu. Zvýšení adherence populace ke screeningu se očekává od nové alternativy, primární screeningové kolonoskopie. Kvalitativní změnu přináší imunochemický test na okultní krvácení, který se jak u praktických lékařů a gynekologů, tak u pacientů těší stále větší oblibě. Prohlubuje se spolupráce mezi jednotlivými odbornostmi participujícími na screeningu. Prostřednictvím médií i jiných marketingových akcí se zvyšuje informovanost české populace. Data o výkonech poskytovatelů za rok 2009 naznačí, zda screening v nové podobě je krokem správným směrem. Efekt screeningu ovšem budeme moci zhodnotit až s odstupem několika let.
Almost ten years after the introduction of colorectal cancer (CRC) screening in the Czech Republic, there has been a change in the programme. The major epidemiological indicators of CRC, i. e. incidence and mortality, still remain unfavourable. Secondary prevention of CRC has not fulfilled the expectations so far. The change of the programme consists in choosing an individual screening method and modifying its interval. Primary screening colonoscopy, which is a new alternative, is expected to increase the adherence of the population to the screening. A qualitative change has been brought by the use of an immunochemical faecal occult blood test that is becoming increasingly popular with general practitioners and gynaecologists as well as patients. The cooperation among the individual disciplines involved in the screening programme has become more in-depth. Through the media and other marketing strategies, the awareness of the Czech population has been rising. The 2009 data on the procedures done by providers will suggest whether this new form of screening is a step in the right direction. However, it will only be possible to evaluate the effect of the screening after several years’ time.
Norbert Král, Bohumil Seifert, Ladislav Dušek, Ondřej Májek
Lit.: 9
Almost ten years after the introduction of colorectal cancer (CRC) screening in the Czech Republic, there has been a change in the programme. The major epidemiological indicators of CRC, i. e. incidence and mortality, still remain unfavourable. Secondary prevention of CRC has not fulfilled the expectations so far. The change of the programme consists in choosing an individual screening method and modifying its interval. Primary screening colonoscopy, which is a new alternative, is expected to increase the adherence of the population to the screening. A qualitative change has been brought by the use of an immunochemical faecal occult blood test that is becoming increasingly popular with general practitioners and gynaecologists as well as patients. The cooperation among the individual disciplines involved in the screening programme has become more in-depth. Through the media and other marketing strategies, the awareness of the Czech population has been rising. The 2009 data on the procedures done by providers will suggest whether this new form of screening is a step in the right direction. However, it will only be possible to evaluate the effect of the screening after several years’ time.
Norbert Král, Bohumil Seifert, Ladislav Dušek, Ondřej Májek
Lit.: 9