Kolorektum.cz – Colorectal Cancer Screening Programme in the Czech Republic

Programmes aimed at early detection of malignant tumours rank among the top priorities concerning cancer control and management in the Czech Republic and Europe. According to the results of several epidemiological and clinical studies, screening programmes can effectively reduce mortality in three cancer diagnoses: breast cancer, colorectal cancer, and cervical cancer. At the moment, all three evidence-based cancer screening programmes have been running in the Czech Republic, as recommended by the World Health Organization (WHO) and the Council of the European Union. The systems for individual data collection and performance monitoring are implemented in accordance with international guidelines, as issued by the EU Commission.

Expert medical societies responsible for the management of screening and diagnosis of preventable malignant tumours (breast cancer, colorectal cancer and cervical cancer) have agreed with the Ministry of Health of the Czech Republic to appoint an academic institute responsible for data collection and performance monitoring of the screening programmes; this role has been attributed to the Institute of Biostatistics and Analyses of the Masaryk University (IBA MU).

A system for information support is a vital element of organised screening programmes. The Czech system for information support facilitates effective configuration and monitoring of screening process and outcomes. Its components include monitoring of cancer epidemiology, performance monitoring of screening centres and monitoring of screening programme using administrative data.

Colorectal Cancer Screening Programme in the Czech Republic was launched in 2000 with the aim of performing faecal occult blood over a two-year interval. Commencing 2009, people aged over 55 years can opt for colonoscopy to be performed every 10 years as a screening test. In 2007, the monitoring of aggregated data by regional coordinators was replaced by individual online data collection systems. All centres coordinated by the Board of Colorectal Cancer Screening were granted access to the application. Relevant information on screening colonoscopy examinations performed by these centres is collected by IBA MU using an on-line available application.

The project also involves running and administration of the web portal www.kolorektum.cz (also available in English), which has been developed in order to enhance the public awareness of colorectal cancer screening, and to coordinate the professional activities related to colorectal cancer screening. The portal is intended both for experts and for the lay public. It brings to the physicians latest information on colorectal cancer screening, and also serves as a communication platform among the screening centres and the executives who run the screening programme.

• Expert guarantors: Board of Colorectal Cancer Screening (you can find more detailed information on the website of the kolorektum.cz project)
• Citation: DUŠEK, Ladislav, ZAVORAL, Miroslav, MÁJEK, Ondřej, SUCHÁNEK, Štěpán, MUŽÍK, Jan, PAVLÍK, Tomáš, ŠNAJDROVÁ, Lenka, GREGOR, Jakub. Kolorektum.cz – Czech National Colorectal Screening Programme [online]. Masaryk University [2009]. On-line available: http://www.kolorektum.cz. ISSN 1804-0888
• Partners: dozens of screening centres, covering the whole territory of the Czech Republic (the comprehensive list is available on the website of the kolorektum.cz project)
• Brief overview of results: you can find more detailed information on the website of the kolorektum.cz project