J 2023

Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic

NGO, Ondřej, Kateřina HEJCMANOVÁ, Štěpán SUCHÁNEK, Lucie PEHALOVÁ, Ladislav DUŠEK et. al.

Basic information

Original name

Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic

Authors

NGO, Ondřej (203 Czech Republic, belonging to the institution), Kateřina HEJCMANOVÁ (203 Czech Republic, belonging to the institution), Štěpán SUCHÁNEK (203 Czech Republic), Lucie PEHALOVÁ (203 Czech Republic, belonging to the institution), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Miroslav ZAVORAL (203 Czech Republic), Jan BURES (203 Czech Republic), Bohumil SEIFERT (203 Czech Republic), Karel HEJDUK (203 Czech Republic, belonging to the institution), Norbert KRAL (203 Czech Republic) and Ondřej MÁJEK (203 Czech Republic, guarantor, belonging to the institution)

Edition

European journal of public health, OXFORD, OXFORD UNIV PRESS, 2023, 1101-1262

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.400 in 2022

RIV identification code

RIV/00216224:14110/23:00134638

Organization unit

Faculty of Medicine

UT WoS

000984197800001

Keywords in English

colorectal neoplasia; early detection; Czech Republic

Tags

Tags

International impact, Reviewed
Změněno: 25/9/2023 10:02, Mgr. Tereza Miškechová

Abstract

V originále

Background Coverage by examinations is a crucial indicator of the future impact on the burden of colorectal cancer (CRC). The study aimed to evaluate coverage by examinations associated with CRC screening and early cancer detection of CRC in the Czech Republic. The burden of CRC was also assessed. Methods The novel nationwide administrative registry with individual data (period 2010-19) was used to evaluate coverage by examinations for screening faecal occult blood test and colonoscopy. In the second step, additional examinations for early CRC detection were included in the coverage calculation (complete coverage). Age-specific trends in CRC incidence (period 1977-2018) were investigated using Joinpoint regression. Results Coverage by screening examinations within recommended interval was around 30%. Complete coverage reached >37% and >50% at the 3-year interval. The coverage by examinations for the non-screening population aged 40-49 years was almost 4% and 5% (most of them were colonoscopies) at the 3-year interval. In age groups aged >= 50 years, we observed a significant annual decline, especially in the 50-69 age group, with recent annual decreases reaching up to 5-7%. The change in trend and the recent decline were also observed in the age group 40-49. Conclusions More than half of the target screening population was covered by examinations potentially associated with early detection and subsequent treatment of colorectal neoplasms. The substantial coverage by potentially prophylactic examinations might be an explanation for the considerable decrease in CRC incidence.

Links

NV18-08-00246, research and development project
Name: Endoskopická transmurální resekce versus standardní endoskopická terapie v léčbě kolorektální neoplázie – prospektivní randomizovaná studie
Investor: Ministry of Health of the CR