Op-013 Croatian National Colorectal Cancer Early Detection Program

Zdravko Ebling1, Marija Strnad2, Mirko Samija3, Ivana Markovic4, Rudika Gmajnic1, Barbara Ebling5
1 Health Centre Osijek, Croatia
2Croatian National Institute of Public Health Zagreb, Croatia
3 University Clinic for Tumours Zagreb, Croatia
4 Faculty of Medicine Osijek, Croatia
5 Clinical Hospital Osijek, Croatia
Croatian national colorectal cancer early detection program. Colorectal cancer is the second leading cause of cancer death in Europe. The implementation of faecal occult blood test (FOBT) for colorectal cancer screening in controlled studies, reduced the relative mortality rate from 18% to 33%. Colorectal cancer incidence in Croatia has increased since 1983 to 2004, from 1186 to 2653 (124%), while mortality has increased from 840 to 1564 (86%) cases.
Aims: National colorectal cancer early detection program began on November 1. 2007. Its aim is to reduce the mortality from colorectal cancer for at least 15% in five years after its start, to include at least 60% of those called for the screening, to detect cancer in early stages, and to achieve coverage of risk groups in the population of 7 5% by 2015. The aims are adjusted toward European Council recommendations (2003) and WHO resolution (2005).
Methods: The target group are men and women from 50 to 74 years of age. The examinees recieve the invitation with enclosed tree FOBTs with instructions, the appropriate questionnaire, and an educative pamphlet. Those with a positive test are being called for a colonoscopy
Results: By now; around 93000 invitations were send. The results are showing a response of 25%. 10% of FOBTs are positive, 45 new cases of colorectal cancer were discovered, while other positive respondents are being examined.
Conclusions: Preliminary results are showing a good correspondence of respondents and physicians involved in colorectal cancer screenings. With additional education of population a greater response is expected.