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Colorectal cancer, prevention and early detection program in Primorsko-goranska County Janković, Suzana; Malatestinić, Đulija & Tićac, Brigita Tićac Abstract Aim: To present the “Program of early detection of colon cancer” in Primorsko-goranska county. Subjects and methods: In the period of the years 2006-2008, 7.483 patients ages 50 to 69 years were summoned for the analysis of hemoccult test. Hemoccult test was done on 3.978 patients (53%). Results: 490 (12,3%) patients had positive hemoccult tests and were sent to gastroenterologist. Discussion: Colorectal cancer is one of three most frequent cancer sites in both sexes in Croatia, and also in Primorsko-goranska county. In the year 2005 there were 2.843 new cases in Croatia. Until now the approach to early detection of colorectal carcinoma was not systematic and hemoccult stool test was not a rutine test. In the year 2006 Primorsko-goranska county initiated the “Program for early detection of colon cancer”. The Teaching Institute for public health is the host of the program. Conclusions: Program of early detection of colorectal cancer using hemoccult testing should become a rutine test because the method is cost-effective, and brings lower morbidity and mortality from colorectal carcinoma. Keywords colorectal cancer, hemoccult, prevention, screening

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Rak debeloga crijeva, program prevencije i ranog otkrivanja u Primorsko-goranskoj županiji Janković, Suzana; Malatestinić, Đulija & Tićac, Brigita Tićac Cilj: Prikazati “Program ranog otkrivanja raka debeloga crijeva u Primorsko-goranskoj županiji”. Ispitanici i metode: U razdoblju od 2006. do 2008. godine 7.482 ispitanika u dobi od 50 do 69 godina pozvano je kako bi obavili hemokult analizu stolice. Hemokult test je obavilo 3.978 (53%) pozvanih osoba. Rezultati: Pozitivne hemokult testove imalo je 490 osoba (12,3%) koje su liječnici obiteljske medicine uputili na daljnju obradu gastroenterologu. Rasprava: Rak debeloga crijeva nalazi se među tri najčešća sijela raka kod pripadnika oba spola u Republici Hrvatskoj, pa tako i u Primorsko-goranskoj županiji. U Hrvatskoj je 2005. godine otkriveno 2.843 novooboljelih. U našoj se županiji, kao i u Republici Hrvatskoj, do sada nije provodio ovakav program, te je stoga Primorsko-goranska županija 2006. godine organizirala “Program ranog otkrivanja raka debeloga crijeva” čiji je nositelj Nastavni zavod za javno zdravstvo. Zaključak: “Program ranog otkrivanja raka debeloga crijeva u Primorsko-goranskoj županiji” primjenom hemokult testa jeftina je i učinkovita metoda rane detekcije koja dugoročno dovodi do smanjenja pobola i umiranja od raka debeloga crijeva. hemokult, karcinom debeloga crijeva, prevencija, probir

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