1195: Measures for improvement the participation in colorectal cancer screening

Conference: 
Author(s): 
N. Král, B. Seifert, J. Vojtíšková
Department of General Practice, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
Text: 
Presentation type: Oral Communication
Background: Despite the fact that organized two steps colorectal cancer screening (FOBT+colonoscopy) was introduced in the Czech Republic in 2000, the participation in screening remains low. To improve the situation changes were introduced in 2009; the immunochemical FOBT on a yearly basis from the age of 50 yrs, the engagement of primary care-based gynaecologists and the option of a primary screening colonoscopy at the age 55.
Methods: Data on FOBTs and screening colonoscopies are collected by sick funds and pass through National Reference Centre to a central institute for analysis. Following indicators were used: number of FOBT, the number of primary screening colonoscopies (PSC), coverage of target population, regional FOBT coverage, FOBT positivity rate.
Results: The number of FOBT performed in primary care increased from 352 595 in 2008 to 414 300 in 2009 and to 521 429 in 2010 (48% increase since 2008). 3887 PSCs were performed in 2010, representing 0,7% of screening interventions. The total coverage of the target population over 50 yrs was 22,8% (20,9% men and 24,1% women) and 27% (both sexes, age 55-74yrs). Gynaecologists contributed 8,3% of FOBT in total, respective 14,3% in women. The coverage in 15 regions of the Czech Republic varied from 16,1% to 29,3%.
Conclusions: The data showed a substantially increasing trend in screening attendance. Introduction of immunochemical tests, annual testing in 50-55 yrs and involvement of gynaecologists were considered to be effective measures. Regional variations indicated a room for improvement. The introduction of primary screening colonoscopy did not affect the uptake in screening.

Disclosure: No conflict of interest declared