A népegészségügyi vastag- és végbélszurés helyzete Magyarországon: A mintaprogramok tanulságai

Translated title of the contribution: The state of the colorectal screening in Hungary: Lessons of the pilot programs

Lajos Döbrossy, Attila Kovács, András Budai, Ágnes Cornides, Szabolcs Ottó, Zsolt Tulassay

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

In Hungary, colorectal cancer is the second most common malignant disease. Due to its natural history, colorectal cancer is particularly suitable for screening. At present, epidemiological evidences of the effectiveness of detection of the symptomless colorectal cancer and its precursors are only available for the demonstration of fecal occult blood, endosocopic methods are also in use. For mass screening, fecal occult blood tests are recommended. Guaiac-type chemical methods are widely criticized because of the lack of specificity. Out of the emerging technologies, immunochemical methods based on the antigenicity of blood proteins (hemoglobin) seem to be the most suitable. In the model programmes organized in the frame of the National Public Health Programme, an immunochemical method using two blood proteins (hemoglobin and albumin) have been used. The compliance was not more than 30-45%. About one-third of those with positive blood test refused colonoscopy. The programmes revealed a great number of adenomatous polyps and early cancers, and in the way, the effectiveness of the method has been proved. The model programmes are still continued. Before the continuous and gradual extension of colorectal screening, the validity of the bisecific method needs to be tested and proved in order to be recognized as a routine procedure for screening. There is a need to test the feasibility of total colonoscopy, however, to this effect the colonoscopic capacity in the country has to be further developed.

Translated title of the contributionThe state of the colorectal screening in Hungary: Lessons of the pilot programs
Original languageHungarian
Pages (from-to)1787-1793
Number of pages7
JournalOrvosi hetilap
Volume148
Issue number38
DOIs
Publication statusPublished - Sep 23 2007

ASJC Scopus subject areas

  • Medicine(all)

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