Darmkrebsfrüherkennung im Nationalen Krebsplan – Aktueller Stand und Empfehlungen für die Weiterentwicklung

Abstract

The National Cancer Programme of the German Federal Administration aims to assess the present status of the national fight against cancer in Germany. Experts in their field have analysed the present target-performance comparison in different working groups dealing with topics from cancer prevention to follow-up and have developed recommendations as to how improvements in the various fields of cancer care may be achieved and mainly how these imrpovements may be implemented in day-to-day cancer care. The working group "Advancement of Colon Cancer Screening, Early Detection and Prevention" proposes the establishment of regulatory proposals for a nationwide, population-based, postal invitational process and, according to Pilot-Projects in Bavaria and Baden-Wuerttemberg, to evaluate the essential recommendations in data protection, logistics, documentation and financing. There are already several programmes in preparation--for example, the Saarland Offensive, based on the results of the KolosSal-Study.

Adherence to Physician Recommendations for Surveillance in Opportunistic Colorectal Cancer Screening: The Necessity of Organized Surveillance

“…European guidelines have recently advocated implementation of “organized” CRC screening to ensure high coverage, and initiatives have been started in Germany to prepare personal invitations to CRC screening on a nationwide basis, i.e. to introduce a central element of “organized” screening [28,29]. The present study supports suggestions that colonoscopy screening should be regarded as a “package” that includes surveillance [30].…”

Vorsorgekoloskopie — eine Erfolgsgeschichte

“…Der gemeinsame Bundesausschuss G-BA ist derzeit in der Endphase der Diskussion, da das Gesetz 2016 in Kra treten soll. Es resultiert aus den langjährigen Diskussionen im Nationalen Krebsplan [15], an denen Vertreter der Sti ung LebensBlicke wie auch der Gastro-Liga maßgeblich beteiligt waren. Es ist wahrscheinlich davon auszugehen, dass sich dadurch die Teilnahmeraten deutlich verbessern lassen und Darmkrebs-Inzidenz und -Mortalität in den nächsten Jahren wohl noch deutlicher rückläu g sein werden.…”

Benefits and Risks of Colorectal Cancer Screening

“…The existing opportunistic CRC screening is quite adequate in comparison to other European countries; however, within the National Cancer Plan a working group for the further development of CRC screening in Germany has recommended the introduction of a nationwide organized invitation program: every eligible person from the age of 50 years should be invited to a counseling session in which further prevention and early detection procedures can be discussed [25,26]. Meanwhile, the lower house of the German parliament (Bundestag) and the Federal Assembly (Bundesrat) have decided on a cancer early detection and registry law (Krebsfrüherkennungs- und -registergesetz, KFRG), which follows the recommendation of the working group and provides a personal invitation for men and women to participate in CRC screening comparable to the invitation program for breast cancer screening which still exists for women.…”

“…Currently, an intense debate is ongoing as to the quality requirements FITs ought to fulfil in order to be accepted by general insurance funds. The new S3 guidelines for CRC have included this test as a so-called ‘is able' recommendation [4], and the German National Cancer Plan has recommended that the gFOBT in the regular early cancer detection program should be replaced or at least complemented by the better FITs [25,26]. …”