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Results of National Colorectal Cancer Screening Program in Croatia (2007-2011)
World Journal of Gastroenterology, 18 (2012), 32; 4300-4307. https://doi.org/10.3748/wjg.v18.i32.4300
Katičić, Miroslava; Antoljak, Nataša; Kujundžić, Milan; Stamenić, Valerija; Skoko Poljak, Dunja; Kramarić, Danica; Štimac, Davor; Strnad Pešikan, Marija; Šamija, Mirko

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Katičić, M., Antoljak, N., Kujundžić, M., Stamenić, V., Skoko Poljak, D., Kramarić, D. ... Šamija, M. (2012). Results of National Colorectal Cancer Screening Program in Croatia (2007-2011). World Journal of Gastroenterology, 18. (32), 4300-4307. doi: 10.3748/wjg.v18.i32.4300

Katičić, Miroslava, et al. "Results of National Colorectal Cancer Screening Program in Croatia (2007-2011)." World Journal of Gastroenterology, vol. 18, br. 32, 2012, str. 4300-4307. https://doi.org/10.3748/wjg.v18.i32.4300

Katičić, Miroslava, Nataša Antoljak, Milan Kujundžić, Valerija Stamenić, Dunja Skoko Poljak, Danica Kramarić, Davor Štimac, Marija Strnad Pešikan i Mirko Šamija. "Results of National Colorectal Cancer Screening Program in Croatia (2007-2011)." World Journal of Gastroenterology 18, br. 32 (2012): 4300-4307. https://doi.org/10.3748/wjg.v18.i32.4300

Katičić, M., et al. (2012) 'Results of National Colorectal Cancer Screening Program in Croatia (2007-2011)', World Journal of Gastroenterology, 18(32), str. 4300-4307. doi: 10.3748/wjg.v18.i32.4300

Katičić M, Antoljak N, Kujundžić M, Stamenić V, Skoko Poljak D, Kramarić D, i sur.. Results of National Colorectal Cancer Screening Program in Croatia (2007-2011). World Journal of Gastroenterology [Internet]. 2012. [pristupljeno 01.04.2025.];18(32):4300-4307. doi: 10.3748/wjg.v18.i32.4300

M. Katičić, et al., "Results of National Colorectal Cancer Screening Program in Croatia (2007-2011)", World Journal of Gastroenterology, vol. 18, br. 32, str. 4300-4307, 2012. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:184:936937. [Citirano: 01.04.2025.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:184:936937
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Naslov (engleski)Results of National Colorectal Cancer Screening Program in Croatia (2007-2011)
AutorMiroslava Katičić
AutorNataša Antoljak
AutorMilan Kujundžić
AutorValerija Stamenić
AutorDunja Skoko Poljak
AutorDanica Kramarić
AutorDavor Štimac
AutorMarija Strnad Pešikan
AutorMirko Šamija
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za internu medicinu)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Interna medicina
Sažetak (engleski)
Aim was to study the epidemiologic indicators of uptake and characteristic colonoscopic findings in the Croatian National Colorectal Cancer Screening Program. Colorectal cancer (CRC) was the second leading cause of cancer mortality in men (n = 1063, 49.77/100 000), as well as women (n = 803, 34.89/100 000) in Croatia in 2009. The Croatian National CRC Screening Program was established by the Ministry of Health and Social Welfare, and its implementation started in September, 2007. The... Više coordinators were recruited in each county institute of public health with an obligation to provide fecal occult blood testing (FOBT) to the participants, followed by colonoscopy in all positive cases. The FOBT was performed by hypersensitive guaiac-based Hemognost card test (Biognost, Zagreb). The test and short questionnaire were delivered to the home addresses of all citizens aged 50-74 years consecutively during a 3-year period. Each participant was required to complete the questionnaire and send it together with the stool specimen on three test cards back to the institute for further analysis. About 4% FOBT positive cases are expected in normal risk populations. A descriptive analysis was performed. A total of 1 056 694 individuals (born between 1933-1945 and 1952-1957) were invited to screening by the end of September 2011. In total, 210 239 (19.9%) persons returned the envelope with a completed questionnaire, and 181 102 of them returned it with a correctly placed stool specimen on FOBT cards. Until now, 12 477 (6.9%), FOBT-positive patients have been found, which is at the upper limit of the expected values in European Guidelines for Quality Assurance in CRC Screening and Diagnosis [European Union (EU) Guidelines]. Colonoscopy was performed in 8541 cases (uptake 66%). Screening has identified CRC in 472 patients (5.5% of colonoscopied, 3.8% of FOBT-positive, and 0.26% of all screened individuals). This is also in the expected range according to EU Guidelines. Polyps were found and removed in 3329 (39% of colonoscopied) patients. The largest number of polyps were found in the left half of the colon: 64% (19%, 37% and 8% in the rectum, sigma, and descendens, respectively). The other 36% were detected in the proximal part (17% in the transverse colon and 19% in ceco-ascending colon). Small polyps in the rectum (5-10 mm in diameter), sigmoid and descending colon were histologically found to be tubular adenomas in 60% of cases, with a low degree of dysplasia, and 40% were classified as hyperplastic. Polyps of this size in the transverse or ceco-ascending colon in almost 20% had a histologically villous component, but still had a low degree of dysplasia. Polyps sized 10-20 mm in diameter were in 43% cases tubulovillous, and among them, 32% had areas with a high degree of dysplasia, especially those polyps in the ceco-ascending or transverse part. The characteristics of the Croatian CRC Screening National Program in the first 3 years were as follows: relatively low percentage of returned FOBT, higher number of FOBT-positive persons but still in the range for population-based programs, and higher number of pathologic findings (polyps and cancers). These results suggest a need for intervention strategies that include organizational changes and educational activities to improve awareness of CRC screening usefulness and increase participation rates. Sakrij dio sažetka
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaWorld Journal of Gastroenterology
Brojčani podacivol. 18, br. 32, str. 4300-4307
p-ISSN1007-9327
DOIhttps://doi.org/10.3748/wjg.v18.i32.4300
URN:NBNurn:nbn:hr:184:936937
Datum objave publikacije2012
URL dokumentahttp://www.wjgnet.com/1007-9327/full/v18/i32/4300.htm
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno 4.0 međunarodna (CC BY-NC 4.0)
Datum i vrijeme pohrane2019-05-15 08:51:04
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