Organized colorectal cancer screening in Serbia - the first round within 2013-2014
Background/Aim. The National Organized Colorectal Cancer Screening Program was conducted in the Republic of Serbia during 2013-2014 covering the population of both genders, aged 50 to 74 years, in 28 municipalities out of 180, with the target population of 651,445 people. This organized col...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2016-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500113B.pdf |
| _version_ | 1811265701694930944 |
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| author | Banković-Lazarević Dušica Krivokapić Zoran Barišić Goran Jovanović Verica Ilić Dragan Veljković Marko |
| author_facet | Banković-Lazarević Dušica Krivokapić Zoran Barišić Goran Jovanović Verica Ilić Dragan Veljković Marko |
| author_sort | Banković-Lazarević Dušica |
| collection | DOAJ |
| description | Background/Aim. The National Organized Colorectal Cancer Screening Program
was conducted in the Republic of Serbia during 2013-2014 covering the
population of both genders, aged 50 to 74 years, in 28 municipalities out of
180, with the target population of 651,445 people. This organized colorectal
cancer screening aims to reduce mortality from colorectal cancer in the
target population. The aim of this study was to show the results of organized
screening for colorectal cancer during the first biannual round in Serbia.
Methods. General practitioners from the primary health centers, invited
target population by letters and by phone to perform immunochemical fecal
occult blood test. Persons with a positive test results were referred to the
colonoscopy. The database of health insurance and other citizens of the
target population was used for invitation for screening in primary health
centers. Descriptive statistical analysis of the results in organized
colorectal cancer screening in the first round was performed for the key
screening indicators. Results. In the first round, a total of 99,592 persons
were invited. The participation rate was 62.5%. Colonoscopy was performed in
1,554 persons. Adenomas were found in 586 persons (0.9% of all the tested),
e.g. 37.7 % of all colonoscopied. In 129 persons colorectal cancer was
diagnosed (0.2% of all the tested), e.g. 8.3% of all the colonoscopied. In
the left half of the colon (rectum, sigmoid and descending colon) there were
70.4% diagnosed polyps and 77.3% carcinomas, while 29.6% of polyps and 22.7%
carcinomas were found in the proximal parts of the colon. Conclusion. In the
first round of the organized colorectal cancer screening in Serbia the
participation rate of the targeted population was high and gave encouraging
result. It was expected that in the forthcoming rounds even higher coverage
of the target population would be accomplished. A positive predictive value
of the completed colonoscopies showed that further work on observing the
stages of diagnosed adenomas and carcinomas would reach the goals of the
expected improvement in early detection of colorectal cancer in Serbia. |
| first_indexed | 2024-04-12T20:28:46Z |
| format | Article |
| id | doaj.art-c501633865a84063bfea64c123506310 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-04-12T20:28:46Z |
| publishDate | 2016-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-c501633865a84063bfea64c1235063102022-12-22T03:17:48ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202016-01-0173436036710.2298/VSP150421113B0042-84501500113BOrganized colorectal cancer screening in Serbia - the first round within 2013-2014Banković-Lazarević Dušica0Krivokapić Zoran1Barišić Goran2Jovanović Verica3Ilić Dragan4Veljković Marko5Institute of Public Health of Serbia "Dr Milan Jovanović Batut", BelgradeClinical Center of Serbia, First Surgical Clinic, BelgradeClinical Center of Serbia, First Surgical Clinic, BelgradeInstitute of Public Health of Serbia “Dr Milan Jovanović Batut”, BelgradeInstitute of Public Health of Serbia “Dr Milan Jovanović Batut”, BelgradeInstitute of Public Health of Serbia “Dr Milan Jovanović Batut”, BelgradeBackground/Aim. The National Organized Colorectal Cancer Screening Program was conducted in the Republic of Serbia during 2013-2014 covering the population of both genders, aged 50 to 74 years, in 28 municipalities out of 180, with the target population of 651,445 people. This organized colorectal cancer screening aims to reduce mortality from colorectal cancer in the target population. The aim of this study was to show the results of organized screening for colorectal cancer during the first biannual round in Serbia. Methods. General practitioners from the primary health centers, invited target population by letters and by phone to perform immunochemical fecal occult blood test. Persons with a positive test results were referred to the colonoscopy. The database of health insurance and other citizens of the target population was used for invitation for screening in primary health centers. Descriptive statistical analysis of the results in organized colorectal cancer screening in the first round was performed for the key screening indicators. Results. In the first round, a total of 99,592 persons were invited. The participation rate was 62.5%. Colonoscopy was performed in 1,554 persons. Adenomas were found in 586 persons (0.9% of all the tested), e.g. 37.7 % of all colonoscopied. In 129 persons colorectal cancer was diagnosed (0.2% of all the tested), e.g. 8.3% of all the colonoscopied. In the left half of the colon (rectum, sigmoid and descending colon) there were 70.4% diagnosed polyps and 77.3% carcinomas, while 29.6% of polyps and 22.7% carcinomas were found in the proximal parts of the colon. Conclusion. In the first round of the organized colorectal cancer screening in Serbia the participation rate of the targeted population was high and gave encouraging result. It was expected that in the forthcoming rounds even higher coverage of the target population would be accomplished. A positive predictive value of the completed colonoscopies showed that further work on observing the stages of diagnosed adenomas and carcinomas would reach the goals of the expected improvement in early detection of colorectal cancer in Serbia.http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500113B.pdfcolorectal neoplasmsSerbiamass screeningdiagnosisoccult bloodpredictive value of testscolonoscopyadenoma |
| spellingShingle | Banković-Lazarević Dušica Krivokapić Zoran Barišić Goran Jovanović Verica Ilić Dragan Veljković Marko Organized colorectal cancer screening in Serbia - the first round within 2013-2014 Vojnosanitetski Pregled colorectal neoplasms Serbia mass screening diagnosis occult blood predictive value of tests colonoscopy adenoma |
| title | Organized colorectal cancer screening in Serbia - the first round within 2013-2014 |
| title_full | Organized colorectal cancer screening in Serbia - the first round within 2013-2014 |
| title_fullStr | Organized colorectal cancer screening in Serbia - the first round within 2013-2014 |
| title_full_unstemmed | Organized colorectal cancer screening in Serbia - the first round within 2013-2014 |
| title_short | Organized colorectal cancer screening in Serbia - the first round within 2013-2014 |
| title_sort | organized colorectal cancer screening in serbia the first round within 2013 2014 |
| topic | colorectal neoplasms Serbia mass screening diagnosis occult blood predictive value of tests colonoscopy adenoma |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500113B.pdf |
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