Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic
Abstract 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 as...
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| Veröffentlicht in: | European journal of public health 2023-06, Vol.33 (3), p.515-521 |
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| container_title | European journal of public health |
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| creator | Ngo, Ondřej Hejcmanová, Kateřina Suchánek, Štěpán Pehalová, Lucie Dušek, Ladislav Zavoral, Miroslav Bureš, Jan Seifert, Bohumil Hejduk, Karel Král, Norbert Májek, Ondřej |
| description | Abstract
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. |
| doi_str_mv | 10.1093/eurpub/ckad071 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10234646</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/eurpub/ckad071</oup_id><sourcerecordid>2810919917</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-ecd7c34118f235ad6de1804338d36eb715feb7726880444a7274122dbb3f4f423</originalsourceid><addsrcrecordid>eNqFkc9rFDEUx4MotlavHiXgxR6mzUsyyexJymK1UBCKgreQSd50U7OTNZmprn-9KbuW6qWX_Pzkm_d9X0JeAzsBthCnOOfN3J-679YzDU_IIUglG6HYt6d1DQwa4IofkBel3DDGWt3x5-RAaJAgWzgkwzLdYrbXSPstxV92HUY7hTQWaktJLtgJPf0ZphVFm-OWepzQ3QE0DdSlmHLd2khHTJtoS7A0jHRaIV3-RreiV1iri8G9JM8GGwu-2s9H5Ov5hy_LT83l548Xy7PLxknWTQ06r52QAN3ARWu98ggdk0J0XijsNbRDHTVXXT2V0mquJXDu-14McpBcHJH3O9367Rq9w3HKNppNDmubtybZYP69GcPKXKdbA4yL2jlVFd7tFXL6MWOZzDoUhzHaanEuhne177BYgK7o2__QmzTnsfqrVCsXTCnWVupkR7mcSsk43FcDzNxlaHYZmn2G9cGbhx7u8b-hVeB4B6R585jYH1Bvqb0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2854906605</pqid></control><display><type>article</type><title>Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>PAIS Index</source><source>Oxford Journals Open Access Collection</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Ngo, Ondřej ; Hejcmanová, Kateřina ; Suchánek, Štěpán ; Pehalová, Lucie ; Dušek, Ladislav ; Zavoral, Miroslav ; Bureš, Jan ; Seifert, Bohumil ; Hejduk, Karel ; Král, Norbert ; Májek, Ondřej</creator><creatorcontrib>Ngo, Ondřej ; Hejcmanová, Kateřina ; Suchánek, Štěpán ; Pehalová, Lucie ; Dušek, Ladislav ; Zavoral, Miroslav ; Bureš, Jan ; Seifert, Bohumil ; Hejduk, Karel ; Král, Norbert ; Májek, Ondřej</creatorcontrib><description>Abstract
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.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckad071</identifier><identifier>PMID: 37141451</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Age ; Age groups ; Aged ; Blood tests ; Cancer ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Czech Republic - epidemiology ; Diagnostic tests ; Early Detection of Cancer ; Evaluation ; Humans ; Mass Screening ; Medical screening ; Middle Aged ; Neoplasms ; Occult Blood ; Public health ; Registries ; Screening</subject><ispartof>European journal of public health, 2023-06, Vol.33 (3), p.515-521</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c408t-ecd7c34118f235ad6de1804338d36eb715feb7726880444a7274122dbb3f4f423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234646/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234646/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1598,27845,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37141451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ngo, Ondřej</creatorcontrib><creatorcontrib>Hejcmanová, Kateřina</creatorcontrib><creatorcontrib>Suchánek, Štěpán</creatorcontrib><creatorcontrib>Pehalová, Lucie</creatorcontrib><creatorcontrib>Dušek, Ladislav</creatorcontrib><creatorcontrib>Zavoral, Miroslav</creatorcontrib><creatorcontrib>Bureš, Jan</creatorcontrib><creatorcontrib>Seifert, Bohumil</creatorcontrib><creatorcontrib>Hejduk, Karel</creatorcontrib><creatorcontrib>Král, Norbert</creatorcontrib><creatorcontrib>Májek, Ondřej</creatorcontrib><title>Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Abstract
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.</description><subject>Age</subject><subject>Age groups</subject><subject>Aged</subject><subject>Blood tests</subject><subject>Cancer</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Czech Republic - epidemiology</subject><subject>Diagnostic tests</subject><subject>Early Detection of Cancer</subject><subject>Evaluation</subject><subject>Humans</subject><subject>Mass Screening</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Neoplasms</subject><subject>Occult Blood</subject><subject>Public health</subject><subject>Registries</subject><subject>Screening</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkc9rFDEUx4MotlavHiXgxR6mzUsyyexJymK1UBCKgreQSd50U7OTNZmprn-9KbuW6qWX_Pzkm_d9X0JeAzsBthCnOOfN3J-679YzDU_IIUglG6HYt6d1DQwa4IofkBel3DDGWt3x5-RAaJAgWzgkwzLdYrbXSPstxV92HUY7hTQWaktJLtgJPf0ZphVFm-OWepzQ3QE0DdSlmHLd2khHTJtoS7A0jHRaIV3-RreiV1iri8G9JM8GGwu-2s9H5Ov5hy_LT83l548Xy7PLxknWTQ06r52QAN3ARWu98ggdk0J0XijsNbRDHTVXXT2V0mquJXDu-14McpBcHJH3O9367Rq9w3HKNppNDmubtybZYP69GcPKXKdbA4yL2jlVFd7tFXL6MWOZzDoUhzHaanEuhne177BYgK7o2__QmzTnsfqrVCsXTCnWVupkR7mcSsk43FcDzNxlaHYZmn2G9cGbhx7u8b-hVeB4B6R585jYH1Bvqb0</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Ngo, Ondřej</creator><creator>Hejcmanová, Kateřina</creator><creator>Suchánek, Štěpán</creator><creator>Pehalová, Lucie</creator><creator>Dušek, Ladislav</creator><creator>Zavoral, Miroslav</creator><creator>Bureš, Jan</creator><creator>Seifert, Bohumil</creator><creator>Hejduk, Karel</creator><creator>Král, Norbert</creator><creator>Májek, Ondřej</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230601</creationdate><title>Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic</title><author>Ngo, Ondřej ; Hejcmanová, Kateřina ; Suchánek, Štěpán ; Pehalová, Lucie ; Dušek, Ladislav ; Zavoral, Miroslav ; Bureš, Jan ; Seifert, Bohumil ; Hejduk, Karel ; Král, Norbert ; Májek, Ondřej</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-ecd7c34118f235ad6de1804338d36eb715feb7726880444a7274122dbb3f4f423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Age groups</topic><topic>Aged</topic><topic>Blood tests</topic><topic>Cancer</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Czech Republic - epidemiology</topic><topic>Diagnostic tests</topic><topic>Early Detection of Cancer</topic><topic>Evaluation</topic><topic>Humans</topic><topic>Mass Screening</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Neoplasms</topic><topic>Occult Blood</topic><topic>Public health</topic><topic>Registries</topic><topic>Screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ngo, Ondřej</creatorcontrib><creatorcontrib>Hejcmanová, Kateřina</creatorcontrib><creatorcontrib>Suchánek, Štěpán</creatorcontrib><creatorcontrib>Pehalová, Lucie</creatorcontrib><creatorcontrib>Dušek, Ladislav</creatorcontrib><creatorcontrib>Zavoral, Miroslav</creatorcontrib><creatorcontrib>Bureš, Jan</creatorcontrib><creatorcontrib>Seifert, Bohumil</creatorcontrib><creatorcontrib>Hejduk, Karel</creatorcontrib><creatorcontrib>Král, Norbert</creatorcontrib><creatorcontrib>Májek, Ondřej</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ngo, Ondřej</au><au>Hejcmanová, Kateřina</au><au>Suchánek, Štěpán</au><au>Pehalová, Lucie</au><au>Dušek, Ladislav</au><au>Zavoral, Miroslav</au><au>Bureš, Jan</au><au>Seifert, Bohumil</au><au>Hejduk, Karel</au><au>Král, Norbert</au><au>Májek, Ondřej</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>33</volume><issue>3</issue><spage>515</spage><epage>521</epage><pages>515-521</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract
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.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>37141451</pmid><doi>10.1093/eurpub/ckad071</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of public health, 2023-06, Vol.33 (3), p.515-521 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PAIS Index; Oxford Journals Open Access Collection; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Age Age groups Aged Blood tests Cancer Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Czech Republic - epidemiology Diagnostic tests Early Detection of Cancer Evaluation Humans Mass Screening Medical screening Middle Aged Neoplasms Occult Blood Public health Registries Screening |
| title | Coverage by examinations associated with early detection of colorectal neoplasia in the Czech Republic |
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