Z Gastroenterol 2008; 46: 29-30
DOI: 10.1055/s-2007-963486

© Georg Thieme Verlag KG Stuttgart · New York

Colorectal Cancer Screening in the Czech Republic

M. Zavoral1
  • 11st Faculty of Medicine of Charles University, Central Military Hospital, U vojenske nemocnice, Praha, Czech Republic
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26. März 2008 (online)


The epidemiology of colorectal cancer (CRC) in the Czech Republic is extremely unfavourable. The alarmingly high rates of incidence (79 / 100 000) and mortality (45 / 100 000) ([Fig. 1]) have practically remained unchanged in recent years. It is unclear to what extent this reflects a generally unfavourable genetic heritage, environmental factors or the dietary habits of the Czech population. The Czech Society of Gastroenterology launched a population-based CRC screening program in 2000. The FOBT became the standard procedure for a biannual screening examination performed by the general practitioners. A colonoscopy follows in the event of a positive FOBT result. In three screening rounds in 2001, 2002 and 2005, the FOBTs of 6.4 % out of a total of 535 248 participants yielded positive results. 0.33 % of all participants were diagnosed with a carcinoma, 1.9 % with an adenoma. The acceptance and detection rates doubled between 2001 and 2005.


M. Zavoral

Director of the Department of Medicine, First Faculty of Medicine of Charles University, Central Military Hospital

U vojenske nemocnice 1200

16900 Praha 6, Czech Republic

Telefon: ++ 420/9 73/20 30 60

eMail: miroslav.zavoral@uvn.cz