1195: Measures for improvement the participation in colorectal cancer screening

N. Král, B. Seifert, J. Vojtíšková
Department of General Practice, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
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