Z Gastroenterol 2008; 46: 23-24
DOI: 10.1055/s-2007-963500

© Georg Thieme Verlag KG Stuttgart · New York

Colorectal Cancer Screening in Europe

A Survey of the International Digestive Cancer Alliance between November 2004 and March 2007M. Classen1 , R. Lambert1
  • 1Klinikum rechts der Isar, II. Med. Klinik, TU München
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26. März 2008 (online)

Despite the considerable progress of both conservative and surgical forms of treatment for advanced carcinomas, the mortality rate in Europe has remained high. The countries with the highest incidence and mortality rates are the Czech Republic, Hungary and Poland while Greece and Romania are the countries with the lowest number of cases. It has been concluded that the number of new colon cancer cases and the mortality rate can only be reduced through an intensive campaign of prevention and a population-related screening programme. In 2000, the European Union recommended the launch of colon cancer screening programmes for all member states. On behalf of the International Digestive Cancer Alliance, we conducted (between November 2004 and May 2006) a survey among all 40 national gastroenterology societies in Europe to establish the current state of colon cancer screening.


  • 1 Fric P, Zavoral M, Dvoráková H. et al . An adapted program of colorectal cancer screening - 7-years experience and cost-benefits analysis.  Hepato-Gastroenterology. 1994;  41 413-416
  • 2 Regula J, Rupinski M, Kraszewska E. et al . Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia.  New Engl J Med. 2006;  355 1863-1872
  • 3 Pox C, Schmiegel W, Classen M. Current status of screening colonoscopy in Europe and in the United States.  Endoscopy. 2007;  39 1-6
  • 4 Malila N, Anttila A, Hakama M. Colorectal cancer screening in Finland: details of the national screening programme implemented in Autumn 2004.  J Med Screen. 2005;  12 28-32
  • 5 Hoff G. Impact of colorectal screening on future lifestyle choices: a three year randomized controlled trial.  Clin Gastroenterol Hepatol. 2007;  5 477-483
  • 6 Steele R J, Parker R, Patnick J. et al . A demonstration pilot trial for colorectal cancer screening in the United Kingdom: a new concept in the introduction of healthcare strategies.  J Med Screen. 2001;  8 197-202
  • 7 Brotherstone H, Vance M, Edwards R. et al . Uptake of population-based flexible sigmoidoscopy screening for colorectal cancer: a nurse-led feasibilty study.  J Med Screen. 2007;  14 76-80
  • 8 Bouvier A M, Bauvin E, Danzon A. et al . Place of multidisciplinary consulting meetings and clinical trials in the management of colorectal cancer in France in 2000.  Gastroenterol Clin Biol. 2007;  31 286-291
  • 9 Altenhofen L, Brenner G, Pox C. et al .Feasibility and first results: National programme of screening colonoscopies in Germany 2003 - 2005. www.zi-berlin.de (download Stichwort “Koloskopie-Screening)

Meinhard Classen

Klinikum rechts der Isar, II. Med. Klinik, TU München

Ismaningerstr. 22

81675 München

eMail: Meinhard.Classen@lrz.tu-muenchen.de