Participation of the Czech population in the Colorectal Cancer Screening Programme – trends and current situation

Ngo, Ondřej; Bučková, Barbora; Suchánek, Štěpán; Seifert, Bohumil; Zavoral, Miroslav; Dušek, Ladislav; Májek, Ondřej

doi:10.14735/amgh2017377

Cited by 1 publication

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“…The largest impact was observed after the first round of invitations was sent. In subsequent years of the program, the response rate slowly declined[11]. The role of direct physician advice seemed to be more important.…”

Section: Discussionmentioning

confidence: 99%

“…The effect of the National CRC Screening Program over the last ten years in the Czech Republic can be observed. Although the crude, ASR-W, and ASR-ECRC incidences decreased from 44.5, 23.8, and 37.8 per 100000, respectively, in 2001 to 35.6, 14.6, and 22.9 per 100000, respectively, in 2015, the actual participation of asymptomatic individuals in screening procedures (approximately 30% in 2016[11]) is still far from the desired rate[12]. Results of CRC screening programs are often presented from the viewpoints of stakeholders, care providers, and endoscopists[8,13].…”

Section: Introductionmentioning

confidence: 99%

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Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic

Kroupa

Ondrackova

Kovalčíková

et al. 2019

WJG

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BACKGROUND Public awareness of colorectal cancer (CRC) and uptake of CRC screening remain challenges. The viewpoints of the target population (asymptomatic individuals older than 50) regarding CRC screening information sources and the reasons for and against participation in CRC screening are not well known in the Czech Republic. This study aimed to acquire independent opinions from the target population independently on the health system. AIM To investigate the viewpoints of the target population regarding the source of information for and barriers and facilitators of CRC screening. METHODS A survey among relatives (aged 50 and older) of university students was conducted. Participants answered a questionnaire about sources of awareness regarding CRC screening, reasons for and against participation, and suggestions for improvements in CRC screening. The effect of certain variables on participation in CRC screening was analyzed. RESULTS Of 498 participants, 478 (96%) respondents had some information about CRC screening and 375 (75.3%) had participated in a CRC screening test. General practitioners (GPs) ( n = 319, 64.1%) and traditional media ( n = 166, 33.3%) were the most common information sources regarding CRC screening. A lack of interest or time and a fear of colonoscopy or positive results were reported as reasons for non-participation. Individuals aged > 60 years [adjusted odds ratio (aOR) = 2.30, 95% confidence interval (CI) (1.42-3.71), P = 0.001], females (aOR = 1.95, 95%CI (1.26-3.01) P = 0.003), and relatives of CRC patients (aOR = 4.17, 95%CI (1.82-9.58) P = 0.001) were more likely to participate in screening. Information regarding screening provided by physicians - GPs: (aOR = 8.11, 95%CI (4.90-13.41), P < 0.001) and other specialists (aOR = 4.19, 95%CI (1.87-9.38), P = 0.001) increased participation in screening. Respondents suggested that providing better explanations regarding screening procedures and equipment for stool capturing could improve CRC screening uptake. CONCLUSION GPs and other specialists play crucial roles in the successful uptake of CRC screening. Reduction of the fear of colonoscopy and simple equipment for stool sampling might assist in improving the uptake of CRC screening.

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Section: Discussionmentioning

confidence: 99%