PMID: 18190246Jan 15, 2008Paper

The role of primary care in colorectal cancer screening: experience from Czech Republic

Neoplasma
B SeifertV Bencko

Abstract

Several programmes proven to be effective in the secondary prevention of colorectal cancer (CRC) have already been introduced in Europe, each varying involvement of general practitioners. This paper reviews current screening strategies for CRC from the primary care perspective, looking at the implementation of screening strategies in Europe, focusing on screening programmes based on the faecal occult blood testing (FOBT), and drawing from experiences in the Czech Republic. We used data on CRC screening from the survey The Burden of Gastrointestinal Diseases in Europe, which was undertaken by the Public Affairs Committee of the United European Gastroenterology Federation in 2003. The data were updated by members of European Society for Primary Care Gastroenterology in 2006. For a description of the Czech screening programme, data from General Health Insurance Fund were used. Specific primary care aspects were studied in the research network of 54 general practice settings in the Czech Republic. National screening programmes have been introduced in several countries, such as Germany, the Czech Republic, Slovakia and Poland. Several important aspects of screening require monitoring: target population adherence, GPs involvement, as...Continue Reading

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