PURPOSE: Fecal immunochemical test (FIT) once a year or colonoscopy once in 10 years is the option approved for colorectal cancer (CRC) screening for asymptomatic individuals aged ≥ 50 years in the Czech Republic. We analyzed participation in the screening program to determine possible improvements. METHODS: In this observational cross-sectional study, data were collected from 4044 randomly chosen individuals from the Czech population (1866 men, 2178 women) aged ≥ 50 years by questionnaires. Individuals who underwent colonoscopy within the last 10 years or/and FIT within the last 2 years were classified as participants in the screening. RESULTS: 1050 individuals underwent FIT, 464 colonoscopy, and 558 underwent both. Adjusted for age, gender, and education, a higher chance of participation in the screening was observed in groups of non-smokers (OR = 1.25; CI 1.05-1.48), ex-smokers (OR = 1.51; CI 1.26-1.83), consuming smoked meat products less than once a week (OR = 1.26; CI 1.09-1.45), practicing physical activity at least once a week (OR = 1.25; CI 1.03-1.51), hospitalized in the past 12 months (OR = 1.73; CI 1.47-2.05), or consulting a general practitioner (GP) in the past 12 months (OR = 2.26; CI 1.87-2.74). The chance of participation of individuals having a risk factor for CRC (obesity, smoking, diabetes, low physical activity, alcohol drinking) was not higher compared to those without the risk factors. CONCLUSION: Individuals with a tendency to a healthy lifestyle or being in recent contact with the healthcare system by various means, mainly visiting a GP, had a higher participation in the screening for CRC. Among groups with an increased risk for CRC, higher participation was not shown.
- MeSH
- časná detekce nádoru * MeSH
- kolonoskopie MeSH
- kolorektální nádory * diagnóza epidemiologie prevence a kontrola MeSH
- lidé MeSH
- plošný screening MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
Diabetes mellitus (zejména diabetes mellitus 2. typu) a kolorektální karcinom jsou v naší populaci relativně častými onemocněními. Tyto jednotky zároveň sdílejí některé společné rizikové faktory, jako je např. obezita, nedostatek fyzické aktivity a hyperinzulinemie. Dostupná data ukazují, že pacienti s diabetem mají zvýšené riziko výskytu kolorektálního adenomu a karcinomu, zvýšené riziko výskytu kolorektálního karcinomu v nižším věku, jakož i zvýšené riziko recidivy a zvýšenou mortalitu při karcinomu kolorekta. Článek předkládá aktuální pohled na vztah diabetu a kolorektálního karcinomu s důrazem na informace podstatné pro klinickou praxi, zejména na screening kolorektálního karcinomu a režimová doporučení pro pacienty s diabetem.
Diabetes mellitus (type 2 diabetes in particular) and colorectal carcinoma are relatively frequent diseases in our population. At the same time, these units share some common risk factors, for example obesity, lack of physical activity and hyperinsulinemia. Available data show patients with diabetes have increased risk of colorectal adenoma and carcinoma, increased risk of colorectal carcinoma at a lower age, as well as increased risk of relapse and increased mortality with colorectal cancer. The aim of this article is to point out the relationship between diabetes and colorectal carcinoma, with emphasis on the information important for clinical practice, particularly the screening of colorectal carcinoma and lifestyle recommendations for patients with diabetes. Therefore, we offer an overview of the important available publications which consider this topic.
- MeSH
- časná detekce nádoru MeSH
- kolonoskopie MeSH
- kolorektální nádory * diagnóza MeSH
- lidé MeSH
- polypy tlustého střeva * diagnóza MeSH
- rizikové faktory MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
