Bernardas Rimkus, Saulius Mikalauskas, Dileta Rutkauskaitė, Kęstutis Strupas
Abstract
Objective: to overview and summarize the selective colorectal screening in European Union on a national scale and compare and summarize selective colorectal screening achievements in Vilnius and Kaunas administrative divisions with primary health center in Palanga.
Methodology: The most recent academic publications were selected, using “colorectal cancer screening” key words, and analyzed from “PubMed” database. 1242 50-74 years old people in Palanga, who got faecal occult blood test and received a positive result, were redirected to have colonoscopy. The results of colonoscopy were analyzed.
Results: Screening programs for the early detection of colorectal cancer on national or regional level are implemented in most of the European Union countries. In Vilnius and Kaunas administrative divisions 7,5% people received a positive result from faecal occult blood test. 64% of those people had colonoscopy.
During the first two years of selective colorectal screening in Palanga 58% people aged 50-74 years got faecal occult blood test and 8,2% received a positive result. 58,6% people of those had colonoscopy and for 50% people colorectal polyps were detected. 1,5% and 0,9% people in Palanga were detected up to 10 mm diameter and more than 10 mm diameter colorectal polyps respectively. 3,4% of people, who got positive result after faecal occult blood test, were diagnosed with colorectal cancer.
Conclusions: Screening programs for the early detection of colorectal cancer up to 10 mm diameter and more than 10 mm diameter are implemented in most of the European Union countries. In Vilnius and Kaunas districts and Palanga faecal occult blood tests results were similar.
Keyword(s): selective screening; faecal occult blood test; colorectal cancer
DOI: 10.5200/sm-hs.2013.117
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